BRADLEY WYATT HATHAWAY

NORTH LITTLE ROCK, AR
NPI1952472029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AR  3471)
Enumeration Date2006-11-12
Last Update Date2013-07-18
Business Address
Dr. BRADLEY WYATT HATHAWAY D.D.S.
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-626-1830
Mailing Address
Dr. BRADLEY WYATT HATHAWAY D.D.S.
P.O. BOX 95125
NORTH LITTLE ROCK, AR 72190
Phone number: 501-626-1830