Individual
JOHN ROGER HASERICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24 BATTLE ST, SOMERS, CT 06071-1629
(860) 749-6088
(860) 749-6078
Mailing address
24 BATTLE ST, PO BOX 817, SOMERS, CT 06071-0817
(860) 749-6088
(860) 749-6078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4489
CT
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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