Stephanie Renee Haines DMD

NPI 1093944506 - Dentist - 122300000X

NPI Details
NPI 1093944506
Gender Female
Enumeration Date 07/06/2009
Last Updated 07/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1801 N BELT W STE C
BELLEVILLE IL, 62226-8201, US
Phone (618) 234-6566
Fax (618) 234-8560
Business Location
1801 N BELT W STE C
BELLEVILLE IL, 62226-8201, US
Phone (618) 234-6566
Fax (618) 234-8560
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019027997
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According to our database, Dr. Stephanie Renee Haines DMD NPI is 1093944506, taxonomy code is 122300000X and license number is 019027997, license state is located at Illinois. Stephanie Renee Haines DMD physically located at 1801 N Belt W Ste C, Belleville IL, 62226-8201. NPI Number Stephanie Renee Haines DMD has the Individual type.

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1093944506 NPI number is provided on an as is basis without warranty of any kind. 1093944506 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Renee Haines DMD are for informational purposes only.