RICHARD A HACK

APPLETON, WI
NPI1013016518
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5001270G)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
-- RICHARD A HACK DDS
2101 E CALUMET ST
APPLETON, WI 54915-4743
Phone number: 920-731-2773
Mailing Address
-- RICHARD A HACK DDS
2101 E CALUMET ST
APPLETON, WI 54915-4743
Phone number: 920-731-2773