| NPI | 1518315985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A HATHEWAY Dentist /Owner 251-947-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 6197) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-06-03 |