Mary Elizabeth Hetsko, DDS

NPI #1902951528 in Fort Sumner, New Mexico

Provider Information

NPI Number
1902951528
Entity Type
Individual
Name
Mary Elizabeth Hetsko, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jan 24, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
546 N 10TH STREET
ZIP Code
88119
Phone
(505) 355-7779

Specialties & Taxonomy Codes

Specialty
Dentist

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