Individual provider · Type 1 NPI

Mariana De la Torre Niederheitmann, DDS

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1083394357 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0002

Call (860) 679-2000 Map

Mailing address

20 Front St Apt 415
Hartford, CT 06103-2850

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X13874 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083394357

Mariana De la Torre Niederheitmann, DDS's National Provider Identifier is 1083394357, issued on Jul 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jul 27, 2023.