Individual
ELIZABETH HERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043286
NY
122300000X
Dentist
TLD5246
ME
Other
Enumeration date
03/16/2016
Last updated
07/16/2025
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