Organization
DAVID J HART DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES HART DDS (MANAGER)
(620) 792-5523
Entity
Organization
Contact information
Practice address
1916 MAIN ST, GREAT BEND, KS 67530
(620) 792-7622
Mailing address
1916 MAIN ST, GREAT BEND, KS 67530
(620) 792-7622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60403
KS
Other
Enumeration date
05/03/2007
Last updated
10/23/2012
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