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Organization
ROBERT HAZE DDS, INC.
Active
Organization
ROBERT HAZE DDS, INC.
Active
Other names
Valleywide Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAZE DDS (OWNER)
(661) 267-4000
Entity
Organization
Contact information
Practice address
1021 W AVENUE M14, PALMDALE, CA 93551-1440
(661) 267-4000
(661) 267-4018
Mailing address
1021 W AVENUE M14, PALMDALE, CA 93551-1440
(661) 267-4000
(661) 267-4018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972629640
DENTI-CAL
CA
01
—
1992133318
DENTI-CAL
CA
Enumeration date
10/22/2013
Last updated
06/09/2014
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