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Individual

DR. DAVID HAASLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
3722 E THOMAS RD, PHOENIX, AZ 85018-7500
(602) 626-5437
(602) 956-5428
Mailing address
PO BOX 80220, PHOENIX, AZ 85060-0220
(602) 626-5437
(602) 956-5428

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
21208
TX
1223P0221X
Pediatric Dentistry
51931
CA
1223P0221X
Pediatric Dentistry
Primary
D5802
AZ

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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