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1023160439
GREG DANIEL HAWTHORNE
AMES, IA
NPI
1023160439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 8109)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Dr. GREG DANIEL HAWTHORNE DDS
616 FIFTH STREET
AMES, IA 50010-0848
Phone number: 515-232-5401
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Mailing Address
Dr. GREG DANIEL HAWTHORNE DDS
PO BOX 848 616 FIFTH STREET
AMES, IA 50010-0848
Phone number: 515-232-5401
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