Organization
TIMOTHY O. HART DDS MS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY OTTO HART D.D.S. (PRESIDENT)
(414) 962-1800
Entity
Organization
Contact information
Practice address
1720 E LAKE BLUFF BLVD, SHOREWOOD, WI 53211-1517
(414) 962-1800
(414) 962-2302
Mailing address
1720 E LAKE BLUFF BLVD, SHOREWOOD, WI 53211-1517
(414) 962-1800
(414) 962-2302
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1896G
WI
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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