DR. Richard Shad Hattaway, D.D.S.

NPI #1992149306 in Garland, Texas

Provider Information

NPI Number: 1992149306
Entity Type: Individual
Name: DR. Richard Shad Hattaway, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 29, 2013
Last Updated: Dec 16, 2015

Practice Location

Address: 6452 BROADWAY BOULEVARD
City: Garland
State: Texas
ZIP Code: 75043
Phone: (972) 226-6945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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