Individual
DR. MATTHEW HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
503 N MAIN ST, HAILEY, ID 83333-8417
(208) 788-4900
Mailing address
2447 GRANGE WAY, HAILEY, ID 83333-5005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5432
ID
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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