| Tooth Or Gum Llc | |
|
784 South Main St Hartford WI 53027 | |
| (262) 673-2288 | |
| (262) 673-6244 |
| Full Name | Tooth Or Gum Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 784 South Main St, Hartford, Wisconsin |
| Authorized Official Name and Position | Ernesto Espinosa (OWNER) |
| Authorized Official Contact | 2626732288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Or Gum Llc 784 S Main St Hartford WI 53027-2407 Ph: (262) 673-2288 | Tooth Or Gum Llc 784 South Main St Hartford WI 53027 Ph: (262) 673-2288 |
| NPI Number | 1700390242 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700390242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 1001150 (Wisconsin) | Primary |
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