Organization
DR. KIMBERLY D. HAUG, PC
Active
Parent organization
DR. KIMBERLY D. HAUG, PC
Other names
Acclaimed Orthodontic Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. KIMBERLY D. HAUG, PC
Authorized official
DR. KIMBERLY D HAUG D.M.D., M.S. (OWNER/PRESIDENT)
(618) 463-7002
Entity
Organization
Contact information
Practice address
3011 GODFREY RD, GODFREY, IL 62035-1808
(618) 466-7966
Mailing address
2411 MORNING STAR DR, ALTON, IL 62002-5657
(618) 463-7002
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.001908
IL
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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