Haake Family Dental LLC
NPI #1275703811 in Overland Park, Kansas
Provider Information
- NPI Number
- 1275703811
- Entity Type
- Organization
- Organization Name
- Haake Family Dental LLC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Mar 11, 2008
- Last Updated
- Jun 25, 2013
Practice Location
- Address
- 4601 W 109TH ST
- Address 2
- SUITE 112
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66211-1318
- Phone
- (913) 381-6644
Authorized Official
- Name
- DR. STEPHEN M HAAKE, DDS
- Title
- DENTIST
- Phone
- (913) 381-6644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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