Individual
CHRISTOPHER JOHN HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4945 STONE FALLS CTR STE B, O FALLON, IL 62269-7801
(618) 622-0212
Mailing address
3 WIMBLEDON CT, EDWARDSVILLE, IL 62025-3146
(618) 978-3522
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
019-034044
IL
1223P0221X
Pediatric Dentistry
019.034044
IL
1223P0221X
Pediatric Dentistry
Primary
019034044
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2021
Last updated
09/26/2023
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