Individual
DR. KEVIN MICHAEL HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
113 W MARENGO RD, TIFFIN, IA 52340-9212
(319) 545-7630
(319) 545-7749
Mailing address
1922 PLAEN VIEW DR, IOWA CITY, IA 52246-4437
(319) 936-7898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08369
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465088
—
ID
Enumeration date
08/28/2006
Last updated
07/08/2007
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