| Dr. Kimberly D. Haug, Pc | |
|
2411 Morning Star Dr Alton IL 62002-5657 | |
| (618) 463-7002 | |
| (618) 463-7006 |
| Full Name | Dr. Kimberly D. Haug, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2411 Morning Star Dr, Alton, Illinois |
| Authorized Official Name and Position | Kimberly D Haug (OWNER/PRESIDENT) |
| Authorized Official Contact | 6184637002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kimberly D. Haug, Pc 2411 Morning Star Dr Alton IL 62002-5657 Ph: (618) 463-7002 | Dr. Kimberly D. Haug, Pc 2411 Morning Star Dr Alton IL 62002-5657 Ph: (618) 463-7002 |
| NPI Number | 1164792719 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164792719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021.001908 (Illinois) | Primary |
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