Individual
KAREN ANN HAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9330 LYNDON B JOHNSON FWY STE 1060, DALLAS, TX 75243-3436
(214) 757-4500
(214) 757-4501
Mailing address
8380 W CHEYENNE AVE, 102, LAS VEGAS, NV 89129-8405
(702) 388-8989
(702) 396-0075
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189125105
—
TX
Enumeration date
10/13/2006
Last updated
08/19/2020
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