Organization
COMPLETE MOBILE DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN HARTIG (OWNER)
(608) 217-4536
Entity
Organization
Contact information
Practice address
4300 DURAFORM LN, WINDSOR, WI 53598-9671
(608) 217-4536
Mailing address
4300 DURAFORM LN, WINDSOR, WI 53598-9671
(608) 217-4536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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