National Provider Identifier
Julie A Hanavan, CDA
Julie A Hanavan, CDA is listed in the NPPES registry with a primary specialty of Dental Assistant in Lackawanna, NY and a listed phone number of (716) 828-9344.
Profile Overview
- NPI
- 1740447663
- Provider Type
- Individual
- Primary Specialty
- Dental Assistant
- Enumeration Date
- May 19, 2008
- Last Updated
- May 19, 2008
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218
Phone: (716) 828-9344
Mailing Address
- 259 Emporium Ave
- West Seneca, NY 14224
Specialties
- Dental Assistant (126800000X)
Full Record
- NPI
- 1740447663
- Entity Type
- Individual
- Last Name
- Hanavan
- First Name
- Julie
- Middle Name
- A
- Credential
- CDA
- Mailing Street Address
- 259 Emporium Ave
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224
- Mailing Country
- US
- Mailing Phone
- (716) 827-5635
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218
- Practice Country
- US
- Practice Phone
- (716) 828-9344
- Enumeration Date
- May 19, 2008
- Last Updated
- May 19, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Assistant (126800000X)