Organization
HART FAMILY DENTISTRY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD A HART DDS (PRESIDENT OWNER)
(608) 742-3272
Entity
Organization
Contact information
Practice address
225 GUNDERSON DR, PORTAGE, WI 53901-3430
(608) 742-3272
(608) 742-0523
Mailing address
225 GUNDERSON DR, PORTAGE, WI 53901-3430
(608) 742-3272
(608) 742-0523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3329
WI
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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