DR. John Paul Haxton, D.D.S
NPI #1730125394 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1730125394
- Entity Type
- Individual
- Name
- DR. John Paul Haxton, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- Jun 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- FISHER CLINIC, 2410 SAMPSON ST.
- Address 2
- BLDG 237
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-5230
- Phone
- (847) 688-3331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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