Organization
ALLAN L HABLUTZEL, DDS PLLC
Active
Other names
Pacific Ave Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN LEE HABLUTZEL DDS (OWNER)
(360) 373-3515
Entity
Organization
Contact information
Practice address
820 PACIFIC AVE STE 204, BREMERTON, WA 98337
(360) 373-3515
(360) 373-2176
Mailing address
820 PACIFIC AVE STE 204, BREMERTON, WA 98337
(360) 373-3515
(360) 373-2176
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5706
WA STATE DENTAL LICENSE
WA
Enumeration date
02/10/2021
Last updated
02/10/2021
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