Individual
JANEL HACKBARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2064 BALDWIN ST, JENISON, MI 49428-8773
(616) 457-2299
Mailing address
2064 BALDWIN ST, JENISON, MI 49428-8773
(616) 457-2299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022271
MI
Other
Enumeration date
04/13/2016
Last updated
05/20/2019
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