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Organization
NATHAN HAWK, D.M.D, P.C.
Active
Organization
NATHAN HAWK, D.M.D, P.C.
Active
Other names
Raintree Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN HAWK DMD (DENTIST)
(765) 529-8668
Entity
Organization
Contact information
Practice address
120 S MEMORIAL DR, SUITE F, NEW CASTLE, IN 47362-4988
(765) 529-8668
(765) 529-8778
Mailing address
120 S MEMORIAL DR, SUITE F, NEW CASTLE, IN 47362-4988
(765) 529-8668
(765) 529-8778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011185B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114188745
—
IN
Enumeration date
11/14/2009
Last updated
05/30/2013
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