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Individual

DR. JASE R HACKNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
15229 N DALE MABRY HWY, TAMPA, FL 33618-1823
(813) 962-3396
(813) 963-7668
Mailing address
15229 N DALE MABRY HWY, TAMPA, FL 33618-1823
(813) 962-3396
(813) 963-7668

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15830
FL

Other

Enumeration date
09/26/2006
Last updated
07/08/2007
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