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Individual
MICHAEL HATFIELD
Active
Individual
MICHAEL HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61393727
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170061
—
OR
01
—
4285457
UNITED CONCORDIA
OR
Enumeration date
07/02/2018
Last updated
12/20/2024
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