Individual
DR. DOUGLAS HAFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4200 N OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 794-4000
(773) 794-4046
Mailing address
4200 N OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 794-4000
(773) 794-4046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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