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Organization
HAAKE FAMILY DENTAL LLC
Active
Organization
HAAKE FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M HAAKE DDS (DENTIST)
(913) 381-6644
Entity
Organization
Contact information
Practice address
4601 W 109TH ST, SUITE 112, OVERLAND PARK, KS 66211-1318
(913) 381-6644
(913) 381-6646
Mailing address
4601 W 109TH ST, SUITE 112, OVERLAND PARK, KS 66211-1318
(913) 381-6644
(913) 381-6646
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
60089
KS
Other
Enumeration date
03/11/2008
Last updated
06/25/2013
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