Jack M Hafer DDS

NPI 1063567279 - Dentist - 122300000X

NPI Details
NPI 1063567279
Gender Male
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2525 PASADENA AVE S
STE E
PASADENA FL, 33707, US
Phone (727) 360-7063
Fax (727) 367-6751
Business Location
13779 PINECREST DRIVE
LARGO FL, 33774-4513, US
Phone (727) 595-3757
Fax
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN5390
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According to our database, Dr. Jack M Hafer DDS NPI is 1063567279, taxonomy code is 122300000X and license number is DN5390, license state is located at Florida. Jack M Hafer DDS physically located at 2525 Pasadena Ave S, Pasadena FL, 33707. NPI Number Jack M Hafer DDS has the Individual type.

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1063567279 NPI number is provided on an as is basis without warranty of any kind. 1063567279 is maintained by the National Plan & Provider Enumeration System. The contents of Jack M Hafer DDS are for informational purposes only.