Organization Name: | H & K DENTAL SERVICES ,PLC |
NPI Number: | 1174814156 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FADI JAMIL HAWWASH (OWNER) |
Mailing Address: | 129b N Main St Fair Haven |
State: | VT US |
Postal Code: | 057431132 |
Phone Number: | 8022653604 |
Fax Number: | 8022510022 |
NPI Enumeration Date: | 04/26/2011 |
NPI Last Update Date: | 04/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |