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1568476083
MARK DANIEL HACKBARTH
BROOKFIELD, WI
NPI
1568476083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 2479)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Dr. MARK DANIEL HACKBARTH dds
12770 W NORTH AVE
BROOKFIELD, WI 53005-4628
Phone number: 262-782-6311
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Mailing Address
Dr. MARK DANIEL HACKBARTH dds
12770 W NORTH AVE
BROOKFIELD, WI 53005-4628
Phone number: 262-782-6311
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