Most Relevant Information
Provider Data
| NPI Number: | 1003834763 |
| Provider Name: | SHELLY K HAAS DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 30-021592 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 03/14/2013 |
Provider Practice Location
14601 PURITAS AVENUE
CLEVELAND
OH
44135
Practice Location Phone/Fax
| Phone: | 2166715452 |
| Fax: | 2166715455 |
Provider Mailing Location
14601 PURITAS AVENUE
CLEVELAND
OH
44315
Provider Mailing Phone/Fax
| Phone: | 2166715452 |
| Fax: | 2166715455 |