Individual
DR. CAMERON HETZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 10TH AVE, NEW YORK, NY 10036-2904
(212) 749-1820
Mailing address
645 10TH AVE, NEW YORK, NY 10036-2904
(212) 749-1820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059465
NY
Other
Enumeration date
07/27/2016
Last updated
04/04/2022
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