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Individual

DR. DIANE EDITH HABERL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS PA

Contact information

Practice address
747 BRAWLEY SCHOOL RD, MOORESVILLE, NC 28117
(704) 663-3001
(704) 663-6954
Mailing address
747 BRAWLEY SCHOOL RD, MOORESVILLE, NC 28117
(704) 663-3001
(704) 663-6954

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6108
NC

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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