Individual
HALEY VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8012 112TH STREET CT E STE 320, PUYALLUP, WA 98373-7856
(253) 848-2331
Mailing address
8802 23RD AVE NE, SEATTLE, WA 98115-3313
(208) 308-7032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60764527
WA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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