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Organization
ALAN D. HATHAWAY D.D.S. P.C.
Active
Organization
ALAN D. HATHAWAY D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN D. HATHAWAY D.D.S. (DENTIST)
(563) 322-1451
Entity
Organization
Contact information
Practice address
1333 W LOMBARD ST, DAVENPORT, IA 52804
(563) 322-1451
(563) 323-3688
Mailing address
1333 W LOMBARD ST, DAVENPORT, IA 52804
(563) 322-1451
(563) 323-3688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4555
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048132
—
IA
Enumeration date
03/14/2007
Last updated
06/12/2008
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