DR. Thomas John Hartog, DDS

NPI #1003994427 in Freeport, Illinois

Provider Information

NPI Number: 1003994427
Entity Type: Individual
Name: DR. Thomas John Hartog, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 981 W SOUTH ST
City: Freeport
State: Illinois
ZIP Code: 61032-6778
Phone: (815) 235-5174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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