Individual
WALTER S HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
925 TROSPER RD SW, TUMWATER, WA 98512-6937
(360) 352-0065
(360) 352-6270
Mailing address
PO BOX 621, OLYMPIA, WA 98507-0621
(360) 352-0065
(360) 352-6270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008563
WA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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