| NPI | 1962830455 |
|---|---|
| Doing Business As | HARTFORD DENTAL CLINIC, P.C. |
| Entity Type | Organization |
| Authorized Contact | SCOTT MARK MATTHEIS President 605-528-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SD M-733) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |