Individual
DR. DEBRA R HASELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3721 WESTERRE PKWY, SUITE D, RICHMOND, VA 23233-1332
(804) 935-5631
(804) 935-5632
Mailing address
3721 WESTERRE PKWY, SUITE D, RICHMOND, VA 23233-1332
(804) 935-5631
(804) 935-5632
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401007910
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010086647
—
VA
Enumeration date
03/16/2006
Last updated
07/31/2014
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