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Individual

JOHN HASENKOPF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1295 TERRELL MILL RD SE STE 102, MARIETTA, GA 30067-9438
(770) 952-5200
Mailing address
1295 TERRELL MILL RD SE STE 102, MARIETTA, GA 30067-9438
(770) 952-5200

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123106
GA

Other

Enumeration date
06/22/2023
Last updated
12/13/2024
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