Individual
CRISTIN B HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(601) 263-1200
Mailing address
PIMC-PNC PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010150
AZ
1223G0001X
General Practice Dentistry
D10657
OR
Other
Enumeration date
08/15/2017
Last updated
11/01/2018
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