DR. Mark Daniel Hackbarth, DDS

NPI #1568476083 in Brookfield, Wisconsin

Provider Information

NPI Number: 1568476083
Entity Type: Individual
Name: DR. Mark Daniel Hackbarth, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 12770 W NORTH AVE
City: Brookfield
State: Wisconsin
ZIP Code: 53005-4628
Phone: (262) 782-6311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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