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General NPI Number Information
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NPI Number | 1326848573
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Entity Type | Organization
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Legal Business Name | HALEY D KESSLER DDS INC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 181 AVENIDA VAQUERO STE B
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3658
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Country | US
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Telephone | 949-325-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 181 AVENIDA VAQUERO STE B
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3658
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Country | US
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Telephone | 949-325-3311
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | HALEY D KESSLER
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Credential | DDS
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Telephone | 909-614-5356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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