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David C Haggard, DDS Valid NPI

Individual provider · General Practice Dentistry · Lake Forest, CA

NPI
1396915641
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
32843 (CA)
Sex
Male
Sole proprietor
Yes
Enumerated
2008-03-03
Last updated
2008-03-03
Practice location
21991 El Toro Rd
Lake Forest, CA 92630-6518
(949) 380-7788

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