Individual
TODD HASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 GAFFNEY RD, #1055, FT WAINWRIGHT, AK 99703-5002
(907) 361-5515
Mailing address
1060 GAFFNEY RD, #1055, FT WAINWRIGHT, AK 99703-5002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103756
AK
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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