Individual
KIZINIA HAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
701 E CATHEDRAL RD STE 43, PHILADELPHIA, PA 19128-2128
(267) 748-2090
Mailing address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045140
PA
Other
Enumeration date
04/01/2024
Last updated
06/22/2025
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