Individual
VINCENT HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8730 GEORGIA AVE STE 308, SILVER SPRING, MD 20910-3650
(240) 696-7842
Mailing address
8730 GEORGIA AVE STE 308, SILVER SPRING, MD 20910-3650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16271
MD
1223G0001X
General Practice Dentistry
Primary
16271
MD
Other
Enumeration date
07/07/2016
Last updated
02/08/2024
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