Organization
CHAD HAAK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD HAAK D.D.S. (OWNER)
(480) 600-8859
Entity
Organization
Contact information
Practice address
3011 S LINDSAY RD, SUITE 104, GILBERT, AZ 85295-4332
(480) 471-8955
Mailing address
3011 S LINDSAY RD, SUITE 104, GILBERT, AZ 85295-4332
(480) 471-8955
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6823
AZ
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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