Organization
DR. KIMBERLY D. HAUG, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY D HAUG D.M.D., M.S. (OWNER/PRESIDENT)
(618) 463-7002
Entity
Organization
Contact information
Practice address
2411 MORNING STAR DR, ALTON, IL 62002-5657
(618) 463-7002
(618) 463-7006
Mailing address
2411 MORNING STAR DR, ALTON, IL 62002-5657
(618) 463-7002
(618) 463-7006
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.001908
IL
Other
Enumeration date
01/12/2012
Last updated
01/25/2012
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