Individual
STEPHEN BECKLEY HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2005 KNIGHT LANE ATTN: MEDICAL STAFF SERVICES BLDG. H, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212-0140
(904) 542-7200
Mailing address
1 PINCKNEY BLVD, PO BOX 6216A, BEAUFORT, SC 29902-6148
(843) 228-5577
(843) 228-5196
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2526
WV
Other
Enumeration date
12/20/2005
Last updated
02/04/2010
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