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Dr. Kenneth Martin Hartenian, DMD
Oral and Maxillofacial Surgery (Dentist) in Manitowoc, Wisconsin
NPI 1396832028

Kenneth Martin Hartenian is a Oral and Maxillofacial Surgery (Dentist) based in Manitowoc, WI and is specialized in Oral and Maxillofacial Surgery. Kenneth Martin Hartenian practices in Manitowoc, WI and has the professional credentials of DMD. The NPI Number for Kenneth Martin Hartenian is 1396832028 and holds a License No. 5001323 (Wisconsin).

The current practice location address for Kenneth Martin Hartenian is 33 E Waldo Blvd, Manitowoc, WI and can be reached out via phone at 920-684-3353 and via fax at 920-684-8786.

Location: 33 E Waldo Blvd, Manitowoc, WI, 54220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396832028
Provider Name
Kenneth Martin Hartenian
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
33 E Waldo Blvd, Manitowoc, WI, 54220
Phone Number
920-684-3353
Fax Number
920-684-8786
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70032900 05 WI
institution
Provider Business Practice Location Address Details
Address
33 E Waldo Blvd
City
Manitowoc
State
Wisconsin
Zip
54220
Phone Number
920-684-3353
Fax Number
920-684-8786
person
Provider Business Mailing Address Details
Address
33 E Waldo Blvd
City
Manitowoc
State
Wisconsin
Zip
54220
Phone Number
920-684-3353
Fax Number
920-684-8786
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
5001323 (Wisconsin)
Definition
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.
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