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Individual

JAMES LEE HIATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1101 NORTH POINT BLVD, STE 126 2ND FLOOR, BALTIMORE, MD 21224-3417
(410) 285-7177
(410) 284-6408
Mailing address
1101 NORTH POINT BLVD, STE 126 2ND FLOOR, BALTIMORE, MD 21224-3417
(410) 285-7177
(410) 284-6408

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
00203734
CO
1223E0200X
Endodontics
Primary
16727
MD
1223E0200X
Endodontics
AR3387
AR

Other

Enumeration date
01/09/2007
Last updated
03/05/2019
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