DR. Richard Leslie Hafdahl, D.D.S.

NPI #1477653277 in Osceola, Wisconsin

Provider Information

NPI Number: 1477653277
Entity Type: Individual
Name: DR. Richard Leslie Hafdahl, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 114 CASCADE ST.
City: Osceola
State: Wisconsin
ZIP Code: 54020-0387
Phone: (715) 294-2334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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