Individual
TODD D. HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
422 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-7952
(360) 457-5152
(360) 457-6673
Mailing address
422 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-7952
(360) 457-5152
(360) 457-6673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6211
WA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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