Individual
RONALD HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3050 MACK RD, FAIRFIELD, OH 45014-5379
(513) 636-6435
(513) 636-6436
Mailing address
3050 MACK RD, FAIRFIELD, OH 45014-5379
(513) 636-6435
(513) 636-6436
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12009508A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.018663
OH
Other
Enumeration date
02/26/2007
Last updated
05/23/2016
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