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Organization

JEFFREY M HARTOG, D.M.D., M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY M HARTOG MD (DIRECTOR)
(407) 579-7329
Entity
Organization

Contact information

Practice address
4355 BEAR GULLY RD, WINTER PARK, FL 32792-9422
(407) 579-7329
(407) 679-3331
Mailing address
4355 BEAR GULLY RD, WINTER PARK, FL 32792-9422
(407) 579-7329
(407) 679-3331

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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