Individual
DR. JACK M HAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2525 PASADENA AVE S, STE E, PASADENA, FL 33707
(727) 360-7063
(727) 367-6751
Mailing address
13779 PINECREST DRIVE, LARGO, FL 33774-4513
(727) 595-3757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN5390
FL
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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