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Individual
CAITLYNN ROSE HAAS
Active
Individual
CAITLYNN ROSE HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019030607
IL
1223G0001X
General Practice Dentistry
11432
NC
1223G0001X
General Practice Dentistry
Primary
2901021553
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
018001941
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
04/16/2020
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