Individual
CHAD WILLIAM HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1740 W 17TH AVE, EUGENE, OR 97402-3619
(888) 468-0022
(541) 504-3907
Mailing address
442 SW UMATILLA AVE, SUITE 200, REDMOND, OR 97756-7039
(541) 504-3907
(541) 504-3900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9914
OR
Other
Enumeration date
07/31/2013
Last updated
02/10/2015
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