Howard Ivan Haecker D.D.S.

NPI 1013118520 - Dentist - 1223G0001X

NPI Details
NPI 1013118520
Gender Male
Enumeration Date 05/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8434 FM 2673
CANYON LAKE TX, 78133-6426, US
Phone (830) 899-7128
Fax (830) 899-7128
Business Location
8434 FM 2673
CANYON LAKE TX, 78133-6426, US
Phone (830) 899-7128
Fax (830) 899-7128
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 11751
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According to our database, Howard Ivan Haecker D.D.S. NPI is 1013118520, taxonomy code is 1223G0001X and license number is 11751, license state is located at Texas. Howard Ivan Haecker D.D.S. physically located at 8434 Fm 2673, Canyon Lake TX, 78133-6426. NPI Number Howard Ivan Haecker D.D.S. has the Individual type.

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1013118520 NPI number is provided on an as is basis without warranty of any kind. 1013118520 is maintained by the National Plan & Provider Enumeration System. The contents of Howard Ivan Haecker D.D.S. are for informational purposes only.