Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 17488 | TX |
NPI | 1063525301 |
---|---|
Provider Name | John Haakon Hinding |
First Address | Buda, TX 78610-3329 |
Second Address | Buda, TX 78610-3329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 08/07/2007 |