Provider Demographics
NPI:1346394756
Name:HAAR, CHRISTOPH FRIEDRICH (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPH
Middle Name:FRIEDRICH
Last Name:HAAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 MARIPOSA DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-2231
Mailing Address - Country:US
Mailing Address - Phone:805-641-2478
Mailing Address - Fax:
Practice Address - Street 1:5500 TELEGRAPH RD
Practice Address - Street 2:#151
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-4250
Practice Address - Country:US
Practice Address - Phone:805-642-0253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA392681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics