Provider Demographics
NPI:1093956138
Name:HOLZHAUER, DANIEL A (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:HOLZHAUER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 HARTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53029-1402
Mailing Address - Country:US
Mailing Address - Phone:262-367-7076
Mailing Address - Fax:262-367-0994
Practice Address - Street 1:520 HARTBROOK DR
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:WI
Practice Address - Zip Code:53029-1402
Practice Address - Country:US
Practice Address - Phone:262-367-7076
Practice Address - Fax:262-367-0994
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI32361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics