DR. Chris Dale Hawthorn, D.D.S.

NPI #1700974110 in Cushing, Oklahoma

Provider Information

NPI Number: 1700974110
Entity Type: Individual
Name: DR. Chris Dale Hawthorn, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 120 E BROADWAY ST
City: Cushing
State: Oklahoma
ZIP Code: 74023-3334
Phone: (918) 225-5032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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