Individual
MARTIN HAUGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
401 N 11TH ST, RICHMOND, VA 23219-1901
(804) 828-0602
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0442000545
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2025
Last updated
07/15/2025
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