Individual
DR. SARA ELIZABETH HACKBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1200 17TH AVE, GRAFTON, WI 53024-2004
(262) 618-0865
Mailing address
1117 COOPER HAWK DR, BURLINGTON, WI 53105-2415
(262) 492-5075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001513-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2024
Last updated
05/28/2024
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