Individual
MR. MICHAEL EUGENE HARTMANN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
Mailing address
2053 QUARRY RIDGE ST UNIT 207, LAS VEGAS, NV 89117-6984
(480) 438-0440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011312
AZ
1223P0221X
Pediatric Dentistry
D011312
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
04/28/2022
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