Individual
SUZANNE HAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
80 STATE HIGHWAY 310, SUITE 2, CANTON, NY 13617-1436
(315) 386-2325
Mailing address
80 STATE HIGHWAY 310, SUITE 2, CANTON, NY 13617-1436
(315) 386-2325
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
010224-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010224-1
NEW YORK STATE LICENSE
NY
Enumeration date
11/15/2008
Last updated
11/15/2008
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