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Individual

DR. JERALD BRIAN HAWK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1750 ROCKVILLE PIKE STE 22, ROCKVILLE, MD 20852-1658
(301) 230-2600
(301) 231-6592
Mailing address
819 BROMLEY ST, SILVER SPRING, MD 20902-3019
(301) 452-0185

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12910
MD

Other

Enumeration date
01/24/2006
Last updated
11/19/2020
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