Individual
ERICA HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 ROCK MERRITT AVE, STOP A, FORT BRAGG, NC 28310-0001
(910) 907-6000
Mailing address
2817 ROCK MERRITT AVE, STOP A, FORT BRAGG, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14900
NC
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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