Individual
DR. MATTHEW V HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
941 FIRST ST, LA SALLE, IL 61301
(815) 223-0636
Mailing address
941 FIRST ST, LA SALLE, IL 61301
(815) 223-0636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016383
IL
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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