Glen Hacker, DDS

NPI #1871668053 in Fairfield, Connecticut

Provider Information

NPI Number: 1871668053
Entity Type: Individual
Name: Glen Hacker, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1 ELIOT PL
City: Fairfield
State: Connecticut
ZIP Code: 06824-5154
Phone: (203) 259-5067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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