DR. Timothy Otto Hart, D.D.S.

NPI #1134275597 in Shorewood, Wisconsin

Provider Information

NPI Number
1134275597
Entity Type
Individual
Name
DR. Timothy Otto Hart, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Prosthodontics
Credential
D.D.S.
Enumeration Date
Jan 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1720 E LAKE BLUFF BLVD
ZIP Code
53211-1517
Phone
(414) 962-1800

Specialties & Taxonomy Codes

Specialty
Dentist - ProsthodonticsProsthodontics

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Organizations

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