GREG DANIEL HAWTHORNE

AMES, IA
NPI1023160439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  8109)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
Dr. GREG DANIEL HAWTHORNE DDS
616 FIFTH STREET
AMES, IA 50010-0848
Phone number: 515-232-5401
Mailing Address
Dr. GREG DANIEL HAWTHORNE DDS
PO BOX 848 616 FIFTH STREET
AMES, IA 50010-0848
Phone number: 515-232-5401