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1871668053
GLEN HACKER
FAIRFIELD, CT
NPI
1871668053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CT 007148)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- GLEN HACKER DDS
1 ELIOT PL
FAIRFIELD, CT 06824-5154
Phone number: 203-259-5067
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Mailing Address
-- GLEN HACKER DDS
1 ELIOT PL
FAIRFIELD, CT 06824-5154
Phone number: 203-259-5067
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