Individual
DR. HOWARD HASSELL PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
106 LONGVIEW DR. STE. A, WHITE ROCK, NM 87547
(970) 799-2181
(505) 672-0840
Mailing address
106 LONGVIEW DR. STE. A, WHITE ROCK, NM 87547
(970) 799-2181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10266
CO
1223G0001X
General Practice Dentistry
Primary
DD5673
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2009
Last updated
09/19/2022
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