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Derrik Hartman
NPI 1659711299 · on the registry since 2013
Practice
- Address
- 1132 Larpenteur Ave W
Saint Paul, MN 55113 - Phone
- (651) 489-0641
- Organisation at this address
- Como Park Dentistry Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota