Individual
BRIAN JAMES HATHCOAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(925) 370-5110
(925) 370-5142
Mailing address
17051 BROADWAY TER, OAKLAND, CA 94611-1032
(925) 313-6098
(925) 313-6599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61544
CA
Other
Enumeration date
08/16/2012
Last updated
01/21/2020
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