Individual
DR. MARIA HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
134 MONTOWESE ST, BRANFORD, CT 06405-3987
(203) 488-7444
Mailing address
82 SEAVIEW AVE, BRANFORD, CT 06405-5444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12741
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2019
Last updated
12/30/2020
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