Individual
DR. BROOKE AMBER HASENFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HEALTH CENTER DR, AHOSKIE, NC 27910-8161
(252) 737-7200
Mailing address
2117 LIVINGSTON ST, SUFFOLK, VA 23435-3292
(262) 385-1628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
150907
NC
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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