# DR. RAYMOND G. HATLAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235386764
- **Authorized official:** DR. RAYMOND GILBERT HATLAND DDS (OWNER)
- **Authorized official phone:** (317) 257-0794

## Contact information

- **Practice address:** 6202 BROADWAY ST, INDIANAPOLIS, IN 46220-1837
- **Practice address phone:** (317) 257-0794
- **Mailing address:** 6202 BROADWAY ST, INDIANAPOLIS, IN 46220-1837
- **Mailing address phone:** (317) 257-0794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 120069 | IN | Yes |

## Other

- **Enumeration date:** 08/27/2008
- **Last updated:** 08/27/2008