Provider Demographics
NPI:1316154024
Name:HARTEAU, CHRISTIAN T (PENDING DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:T
Last Name:HARTEAU
Suffix:
Gender:M
Credentials:PENDING DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 S OAK PARK CT
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53214-1923
Mailing Address - Country:US
Mailing Address - Phone:414-791-0613
Mailing Address - Fax:
Practice Address - Street 1:3174 S HOWELL AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207
Practice Address - Country:US
Practice Address - Phone:414-483-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program