NPI 1003834763

Shelly K Haas, DMD

Practitioner General Practice Dentistry Cleveland, OH

Practice location

Address: 14601 Puritas Avenue, Cleveland, OH 44135
Phone: (216) 671-5452
Fax: (216) 671-5455
Mailing address: 14601 Puritas Avenue, Cleveland, OH 44315

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 30-021592 (OH)

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Registry record

NPI: 1003834763
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2006
Record last updated: 14 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.