# HATFIELD DENTAL CLINIC PC

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

## Provider details

- **NPI number:** 1568956589
- **Authorized official:** DR. LAWRENCE J HATFIELD JR. DDS (PRESIDENT)
- **Authorized official phone:** (979) 208-8638

## Contact information

- **Practice address:** 220 W. GUADALUPE ST., LA GRANGE, TX 78945-1926
- **Practice address phone:** (979) 208-8638
- **Practice address fax:** (979) 272-4563
- **Mailing address:** 220 W GUADALUPE ST, LA GRANGE, TX 78945-1926
- **Mailing address phone:** (979) 208-8638
- **Mailing address fax:** (979) 272-4563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 13463 | TX | Yes |

## Other

- **Enumeration date:** 06/22/2018
- **Last updated:** 08/11/2020