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Individual
DR. TYLER HAEFFS
Active
Individual
DR. TYLER HAEFFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031711
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2018
Last updated
07/04/2018
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