Individual
DR. MICHELLE ANNE HACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8221 RITCHIE HWY, SUITE 201, PASADENA, MD 21122-3938
(443) 386-5647
Mailing address
8221 RITCHIE HWY, SUITE 201, PASADENA, MD 21122-3938
(443) 386-5647
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14544
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2010
Last updated
07/28/2015
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