Individual
CHARLES WILLIAM HAUBRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6004-A PORTAL WAY, FERNDALE, WA 98248
(360) 384-3440
(360) 384-6028
Mailing address
6004-A PORTAL WAY, FERNDALE, WA 98248
(360) 384-3440
(360) 384-6028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7952
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5029038
DSHS
WA
01
—
57952
WDS
WA
01
—
7952
STATE
WA
Enumeration date
11/15/2006
Last updated
07/08/2007
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