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Individual

DR. JAMES WILSON HACKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
3811 E. 51 ST., TULSA, OK 74135-3603
(918) 492-1780
(918) 492-7823
Mailing address
3811 E. 51 ST., TULSA, OK 74135-3603
(918) 492-1780
(918) 492-7823

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3465
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100116800A
OK
Enumeration date
07/05/2005
Last updated
12/23/2011
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