Organization
DR. ESPINOSA DDS TOOTH OR GUM, LLC
Active
Other names
Tooth or Gum LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO ESPINOSA DDS (OWNER)
(262) 673-2288
Entity
Organization
Contact information
Practice address
784 SOUTH MAIN ST, HARTFORD, WI 53027
(262) 673-2288
(262) 673-6244
Mailing address
784 S MAIN ST, HARTFORD, WI 53027-2407
(262) 673-2288
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1001150
WI
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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