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Individual

CLIFFORD ROBERT HARTMANN

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
10202 W HAYES AVE, WEST ALLIS, WI 53227-2042
(414) 543-4700
(414) 543-4701
Mailing address
10202 W HAYES AVE, WEST ALLIS, WI 53227-2042
(414) 543-4700
(414) 543-4701

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1464G
WI

Other

Enumeration date
08/10/2005
Last updated
07/08/2007
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