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NPI Code Detail

MEDICARE: THOMAS E HAUSER LD, DPD

MEDICARE:   THOMAS E HAUSER  LD, DPD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122400000XDenturistDN 60051783WA

General Provider Information

NPI Number : 1710214812
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS E HAUSER LD, DPD
Provider Business Mailing Address
First Line : 1268 E MAIN ST
Second Line : SUITE 5
City : AUBURN
State : WA
Zip : 98002-5748
Country : US
Telephone Number : 253-833-1834
Fax Number : 253-833-1841
Provider Business Practice Location Address
First Line : 1268 E MAIN ST
Second Line : SUITE 5
City : AUBURN
State : WA
Zip : 98002-5748
Country : US
Telephone Number : 253-833-1834
Fax Number : 253-833-1841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 11/10/2009

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Directions to “ THOMAS E HAUSER LD, DPD” Practice Location

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