MICHAEL J HACKEN

GRANGER, IN
NPI1467917278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IN  12012903A)
Enumeration Date2019-02-06
Last Update Date2019-02-06
Business Address
MICHAEL J HACKEN
51565 BITTERSWEET RD
GRANGER, IN 46530-8859
Phone number: 574-277-1211
Mailing Address
MICHAEL J HACKEN
51565 BITTERSWEET RD
GRANGER, IN 46530-8859
Phone number: 574-277-1211