Individual
JACQUES HOEFFLEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
225 N WALES RD, WALES, WI 53183-9735
(262) 968-9191
Mailing address
225 N WALES RD, WALES, WI 53183-9735
(262) 968-9191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3189-015
WI
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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