Individual
DR. JOHN ANDREW HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17110 LAKESIDE HILLS PLZ, OMAHA, NE 68130-5600
(402) 718-8737
Mailing address
17110 LAKESIDE HILLS PLZ, OMAHA, NE 68130-5600
(402) 718-8737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-5140
ID
1223G0001X
General Practice Dentistry
Primary
7754
NE
Other
Enumeration date
06/24/2020
Last updated
08/31/2021
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