Individual
ERICA HARTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
186 ENCHANTED FRST S, DEPEW, NY 14043-5016
(716) 868-3149
Mailing address
186 ENCHANTED FRST S, DEPEW, NY 14043-5016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061806-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
07/07/2022
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