Individual provider · Type 1 NPI
Kenneth Martin Hartenian, DMD
Oral and Maxillofacial Surgery (Dentist) · Manitowoc, WI
NPI number
1396832028
Active
Practice location
33 E Waldo Blvd
Manitowoc, WI 54220
Fax (920) 684-8786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 5001323 (WI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
About NPI 1396832028
Kenneth Martin Hartenian, DMD's National Provider Identifier is 1396832028, issued on Oct 6, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Manitowoc, WI. The record was last updated on Jul 8, 2007.