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Individual

DR. ROBERT GEORGE HACKIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2918 FIFTH AVE.,, SUITE #310, SAN DIEGO, CA 92103-5910
(619) 295-2288
(619) 688-7944
Mailing address
2918 FIFTH AVE.,, SUITE #310, SAN DIEGO, CA 92103-5910
(619) 295-2288
(619) 688-7944

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27762
CA

Other

Enumeration date
02/22/2010
Last updated
02/22/2010
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