Individual
JEFFREY K. HAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
210 N ELM ST, CRESCO, IA 52136-1522
(563) 547-2312
Mailing address
PO BOX 201, CRESCO, IA 52136-0201
(563) 547-2312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7167
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039503
—
IA
Enumeration date
03/28/2007
Last updated
07/08/2007
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