Individual
BENJAMIN HIETANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5489 BROADWAY ST, LANCASTER, NY 14086-2219
(716) 708-1226
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
061152
NY
Other
Enumeration date
04/10/2019
Last updated
03/25/2025
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