Organization
RONALD C. HARTZER D.D.S.,M.S., PERIODONTICS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD C. HARTZER D.D.S., M.S. (PRESIDENT)
(847) 244-9000
Entity
Organization
Contact information
Practice address
609 W GREENWOOD AVE, WAUKEGAN, IL 60087-5000
(847) 244-9000
(847) 244-0009
Mailing address
609 W GREENWOOD AVE, WAUKEGAN, IL 60087-5000
(847) 244-9000
(847) 244-0009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019013133
IL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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