Individual
MRS. AMY ERIKA HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1510 HILL AVE., SUITE D, SPIRIT LAKE, IA 51360
(712) 336-4895
(712) 336-3336
Mailing address
1510 HILL AVE., SUITE D, SPIRIT LAKE, IA 51360
(712) 336-4895
(712) 336-3336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08441
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497800
—
IA
05
—
10025415600
—
NE
Enumeration date
12/12/2006
Last updated
06/21/2011
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