DR. Cody Kent Haas, D.D.S.

NPI #1114252517 in Lewiston, Idaho

Provider Information

NPI Number: 1114252517
Entity Type: Individual
Name: DR. Cody Kent Haas, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 2, 2009
Last Updated: Oct 2, 2009

Practice Location

Address: 1639 23RD AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-6308
Phone: (208) 746-0431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X

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