Individual
RICHARD A HACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2101 E CALUMET ST, APPLETON, WI 54915-4743
(920) 731-2773
(920) 731-6878
Mailing address
2101 E CALUMET ST, APPLETON, WI 54915-4743
(920) 731-2773
(920) 731-6878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001270G
WI
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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