Individual
DR. LARRY D HAISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15TH AND U STREET, UNIVERSITY HEALTH CENTER DENTAL OFFICE, LINCOLN, NE 68588-0618
(402) 472-7495
Mailing address
9420 WILDFIRE RD, LINCOLN, NE 68512-9391
(402) 328-3421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3859
NE
Other
Enumeration date
02/01/2007
Last updated
03/29/2016
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