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DR. JARED JOHN HARDING D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1265753453
Individual Registrant:DR. JARED JOHN HARDING D.D.S.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
105 KELLY WAY HORTONVILLE, WI 54944-8755 US
Tel: 608-886-0223 Fax: --
Tel: 608-886-0223 Fax: --
Contact information for business:
N4380 BEAUDIN LN MARINETTE, WI 54143-9005 US
Tel: 608-886-0223 Fax: --
Tel: 608-886-0223 Fax: --
Registration Information:
NPI: 1265753453
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | WI | 6537-15 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
