Organization
JACK HOEFFLEUR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUES HOEFFLEUR DDS (PRESIDENT)
(262) 968-9191
Entity
Organization
Contact information
Practice address
225 N WALES RD, WALES, WI 53183-9735
(262) 968-9191
Mailing address
225 N WALES RD, WALES, WI 53183-9735
(262) 968-9191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
02/10/2012
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