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1912072174
CLARENCE BRENT HAEBERLE
AUGUSTA, GA
NPI
1912072174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: GA DNF000362)
Enumeration Date
2006-11-22
Last Update Date
2023-04-13
Business Address
Dr. CLARENCE BRENT HAEBERLE DMD
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912-0004
Phone number: 706-721-2696
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Mailing Address
Dr. CLARENCE BRENT HAEBERLE DMD
1430 JOHN WESLEY GILBERT DR GC 4204
AUGUSTA, GA 30912-0004
Phone number: 706-721-2696
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