Individual
DR. TERRANCE LEO HAUCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.,D.D.S.
Contact information
Practice address
101 W CASCADE WAY, SUITE 103, SPOKANE, WA 99208-6003
(509) 468-1535
(509) 467-6372
Mailing address
5203 S HOGAN CT, SPOKANE, WA 99223-8105
(509) 448-8790
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
58645
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153400
L&I
WA
05
—
5034061
—
WA
01
—
58645
LICENSE
WA
Enumeration date
10/25/2005
Last updated
07/09/2007
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