Individual
KRISTA HAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
110 EASTSIDE BLVD, SUITE A, BEATRICE, NE 68310-3480
(402) 223-4140
(402) 228-1762
Mailing address
110 EASTSIDE BLVD, SUITE A, BEATRICE, NE 68310-3480
(402) 223-4140
(402) 228-1762
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7227
NE
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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