Individual
DR. SARAH GRACE HASEWINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 852-3534
Mailing address
MY RIVERTOWN DENTIST, 2513 MICHIGAN ROAD, MADISON, IN 47250
(122) 732-3888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12013172A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
08/05/2021
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