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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