Organization
EDWIN M. WHITE AND THOMAS W. HATHORN, A PROFESSIONAL DENTAL CORP.
Active
Other names
White & Hathorn Dental Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WAYNE 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
1223G0001X
General Practice Dentistry
2775
LA
1223G0001X
General Practice Dentistry
Primary
3154
LA
1223G0001X
General Practice Dentistry
5576
LA
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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