Individual
ANDREW HATASHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2604 ALDRICH ST, AUSTIN, TX 78723-3484
(512) 843-7768
Mailing address
12349 METRIC BLVD APT 1623, AUSTIN, TX 78758-2541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34901
TX
Other
Enumeration date
05/28/2017
Last updated
07/29/2019
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