Individual
DR. LARA ELIZABETH HARTLEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1815 LONG BEACH BLVD, SHIP BOTTOM, NJ 08008-4444
(609) 361-0009
Mailing address
810 BARNEGAT AVE STE A, SHIP BOTTOM, NJ 08008-4686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02107800
NJ
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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