Organization
HATHORN & LOCKE GENERAL DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HATHORN DDS (PARTNER)
(318) 448-3804
Entity
Organization
Contact information
Practice address
402 PINEGROVE DR, PINEVILLE, LA 71360-5726
(318) 448-3804
(318) 448-4880
Mailing address
402 PINEGROVE DR, PINEVILLE, LA 71360-5726
(318) 448-3804
(318) 448-4880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2775
LA
122300000X
Dentist
Primary
3154
LA
122300000X
Dentist
5576
LA
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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