NPI | 1407915655 |
---|---|
Doing Business As | WHITE & HATHORN DENTAL CORP. |
Entity Type | Organization |
Authorized Contact | THOMAS WAYNE HATHORN Partner 318-448-3804 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 3154) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 5576) |
1223G0001X Dentist, General Practice (Licence: LA 2775) | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-08-22 |