DR. Ellen Leigh Hart, DDS

NPI #1770100505 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1770100505
Entity Type: Individual
Name: DR. Ellen Leigh Hart, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 27, 2020
Last Updated: Jun 27, 2020

Practice Location

Address: 2616 DIAMONDWOOD DR
City: Cedar Rapids
State: Iowa
ZIP Code: 52403-1518
Phone: (319) 929-3676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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