Individual
DR. KENNETH H HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 S WOOD AVE, FREDERICKTOWN, MO 63645-1348
(573) 783-5573
Mailing address
115 S WOOD AVE, FREDERICKTOWN, MO 63645-1348
(573) 783-5573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013741
MO
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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