Individual
DR. JOHN J HAIDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
7334 E BROAD ST, SUITE C, BLACKLICK, OH 43004-9239
(614) 577-1100
(614) 577-1348
Mailing address
3750 ALWARD RD SW, PATASKALA, OH 43062-6701
(614) 577-1100
(614) 577-1348
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
17062
OH
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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