Organization
THE HARTFORD DENTAL GROUP, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA ANN KOHLER (EXECUTIVE ADMINISTRATOR)
(262) 673-3303
Entity
Organization
Contact information
Practice address
1009 E SUMNER ST, HARTFORD, WI 53027-1607
(262) 673-3303
(262) 673-9115
Mailing address
1009 E SUMNER ST, HARTFORD, WI 53027-1607
(262) 673-3303
(262) 673-9115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
782
WI
Other
Enumeration date
01/19/2007
Last updated
04/17/2008
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