Individual
DR. MATTHEW JUSTIN HAYASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11572 C STREET, FORT LEWIS, WA 98433
(253) 967-4615
Mailing address
11572 C STREET, FORT LEWIS, WA 98433
(253) 967-4615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-2970
HI
Other
Enumeration date
07/24/2021
Last updated
01/08/2024
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