Individual
DR. GREGORY ADRIAN HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
196 PARKWAY S, SUITE 305, WATERFORD, CT 06385-1234
(860) 443-1827
(860) 443-1745
Mailing address
6 STONEWOOD DR, OLD LYME, CT 06371-1845
(860) 434-1610
(860) 434-9656
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
007723
CT
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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