Individual
LOUIS RICHARD HAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1815 N. THISTLE RD., FLAGSTAFF, AZ 86004
(928) 526-0616
(928) 526-1443
Mailing address
1815 THISTLE RD, FLAGSTAFF, AZ 86004-7790
(928) 526-0616
(928) 526-1443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2039
AZ
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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