NPI 1740447663
Julie a Hanavan, CDA
Practice location
- Address
- 790 Ridge Rd, Lackawanna, NY 14218
- Phone
- (716) 828-9344
- Mailing address
- 259 Emporium Ave, West Seneca, NY 14224
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1740447663
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 May 2008
- Record last updated
- 19 May 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.