Haas, Kimberly Suzanne

Haas, Kimberly Suzanne is an sole proprietor health care provider with primary practice located at 630 Point San Pedro Rd , San Rafael CA 94901-2514. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Haas, Kimberly Suzanne can be contacted via phone (415) 453-9470.

Contact Information

Primary practice address
630 Point San Pedro Rd San Rafael CA 94901-2514
Phone: (415) 453-9470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 50262 California

Profile Details

NPI number 1083758015
LBN Legal business name Haas, Kimberly Suzanne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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