Individual
TIMOTHY MICHAEL HAFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 ELM ST # 302, HOPKINTON, MA 01748-1638
(508) 293-1446
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-3534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858971
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
06/09/2021
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