Mark P Hatala, DDS
NPI #1669559159 in Johnson City, New York
Provider Information
- NPI Number
- 1669559159
- Entity Type
- Individual
- Name
- Mark P Hatala, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 165 RIVERSIDE DRIVE
- City
- Johnson City
- State
- New York
- ZIP Code
- 13790
- Phone
- (607) 644-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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