Organization
DAVID HATHEWAY DMD LLC
Active
Other names
Central Baldwin Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A HATHEWAY DMD (DENTIST /OWNER)
(251) 947-5940
Entity
Organization
Contact information
Practice address
18100 HWY 104, 18100 HWY 104, ROBERTSDALE, AL 36567
(251) 947-5940
Mailing address
18100 HWY 104, 18100 HWY 104, ROBERTSDALE, AL 36567
(251) 947-5940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6197
AL
Other
Enumeration date
05/26/2016
Last updated
06/03/2016
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