| Haake Family Dental Llc | |
|
4601 W 109th St Suite 112 Overland Park KS 66211-1318 | |
| (913) 381-6644 | |
| (913) 381-6646 |
| Full Name | Haake Family Dental Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4601 W 109th St, Overland Park, Kansas |
| Authorized Official Name and Position | Stephen M Haake (DENTIST) |
| Authorized Official Contact | 9133816644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haake Family Dental Llc 4601 W 109th St Suite 112 Overland Park KS 66211-1318 Ph: (913) 381-6644 | Haake Family Dental Llc 4601 W 109th St Suite 112 Overland Park KS 66211-1318 Ph: (913) 381-6644 |
| NPI Number | 1275703811 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 06/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275703811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 60089 (Kansas) | Primary |
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