| 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 |