Organization
HARTFORD FAMILY DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE CHARMOLI RDH, BS (OPERATIONS MANAGER)
(262) 673-2960
Entity
Organization
Contact information
Practice address
73 LIBERTY AVE, HARTFORD, WI 53027-8739
(262) 673-2960
Mailing address
73 LIBERTY AVE, HARTFORD, WI 53027-8739
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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