Individual
DR. BURNELL BRAGG HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7349 RICHMOND RD, WILLIAMSBURG, VA 23188-7221
(757) 564-8942
(757) 564-8667
Mailing address
8900 LIBERTY CHURCH RD, CHARLES CITY, VA 23030-3861
(804) 829-5804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005826
VA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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