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1841923281
HALEY DIETZ
BATTLE GROUND, WA
NPI
1841923281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA 61314756)
Enumeration Date
2022-07-04
Last Update Date
2022-07-04
Business Address
HALEY DIETZ
1401 NW 1ST ST # 120
BATTLE GROUND, WA 98604-4540
Phone number: 360-666-5700
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Mailing Address
HALEY DIETZ
638 NE 79TH AVE
PORTLAND, OR 97213-6913
Phone number: 540-392-1820
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