| NPI | 1790895530 |
|---|---|
| Former Legal Business Name | MARVIN M HEWLETT JR DDS |
| Entity Type | Organization |
| Authorized Contact | MARVIN MCCOY HEWLETT Dentist President 334-382-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 3171) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-05-03 |