Individual
SAMUEL HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3302 N 5TH STREET HWY, READING, PA 19605-2427
(814) 715-6169
Mailing address
2004 ARCH STREET EXT, BROCKWAY, PA 15824-8018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043751
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2022
Last updated
09/19/2022
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