Organization
DR. RAYMOND G. HATLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND GILBERT HATLAND DDS (OWNER)
(317) 257-0794
Entity
Organization
Contact information
Practice address
6202 BROADWAY ST, INDIANAPOLIS, IN 46220-1837
(317) 257-0794
Mailing address
6202 BROADWAY ST, INDIANAPOLIS, IN 46220-1837
(317) 257-0794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
120069
IN
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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