Individual
DR. KENT HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1051 LYDIA DR STE 200, MARYSVILLE, OH 43040-7081
(937) 642-0040
(937) 644-0060
Mailing address
1051 LYDIA DR STE 200, MARYSVILLE, OH 43040-7081
(614) 642-0040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30021910
OH
Other
Enumeration date
05/23/2007
Last updated
10/01/2019
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