Alan D. Hathaway D.d.s. P.c.

NPI 1003949447 - Dentist - 122300000X

NPI Details
NPI 1003949447
Enumeration Date 03/14/2007
Last Updated 06/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALAN D. ALAN
Position DENTIST
Phone (563) 322-1451
Fax (563) 323-3688
Practice Location
1333 W LOMBARD ST
DAVENPORT IA, 52804, US
Phone (563) 322-1451
Fax (563) 323-3688
Business Location
1333 W LOMBARD ST
DAVENPORT IA, 52804, US
Phone (563) 322-1451
Fax (563) 323-3688
Toxanomy
Taxonomy Code 122300000X
License State Iowa
License Number 4555
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According to our database, Alan D. Hathaway D.d.s. P.c. NPI is 1003949447, taxonomy code is 122300000X and license number is 4555, license state is located at Iowa. Alan D. Hathaway D.d.s. P.c. physically located at 1333 W Lombard St, Davenport IA, 52804. NPI Number 1033115704 has the healthcare provider type.

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1003949447 NPI number is provided on an as is basis without warranty of any kind. 1003949447 is maintained by the National Plan & Provider Enumeration System. The contents of Alan D. Hathaway D.d.s. P.c. are for informational purposes only.