Whalio Doctors

NPI 1245526722

Corbett a Haas, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Fargo, ND

Practice location

Address
3000 32nd Ave S, Fargo, ND 58103
Phone
(701) 364-8000
Mailing address
1702 University Dr S, Fargo, ND 58103-4940

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 15144 (ND)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DL-11263 (MA)

Registry record

NPI
1245526722
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jun 2011
Record last updated
9 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.