Individual
MR. CHRISTOPHER BRENT HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
1945 MAYFAIR PARK DR APT 202, HOMEWOOD, AL 35209-5629
(256) 468-8777
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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