DR. Gerald Allen Hart, DDS

NPI #1285623348 in Portage, Wisconsin

Provider Information

NPI Number
1285623348
Entity Type
Individual
Name
DR. Gerald Allen Hart, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Oct 20, 2005
Last Updated
Sep 25, 2007

Practice Location

Address
225 GUNDERSON DR
ZIP Code
53901-3430
Phone
(608) 742-3272

Specialties & Taxonomy Codes

Specialty
Dentist

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