Individual
DR. JOSEPH ANTHONY HASELHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
507 S MAIN ST, NAPERVILLE, IL 60540-6510
(630) 420-0013
Mailing address
507 S MAIN ST, NAPERVILLE, IL 60540-6510
(630) 420-0013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-019168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081-84-0318
—
IL
Enumeration date
08/20/2006
Last updated
08/03/2010
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