Organization
HATFIELD DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J HATFIELD JR. DDS (PRESIDENT)
(979) 208-8638
Entity
Organization
Contact information
Practice address
220 W. GUADALUPE ST., LA GRANGE, TX 78945-1926
(979) 208-8638
(979) 272-4563
Mailing address
220 W GUADALUPE ST, LA GRANGE, TX 78945-1926
(979) 208-8638
(979) 272-4563
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649351875
NPI
—
Enumeration date
06/22/2018
Last updated
08/11/2020
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