Provider Demographics
NPI:1912767187
Name:HAJDUK, CAROLINE CUTBIRTH (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:CUTBIRTH
Last Name:HAJDUK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 EVERHART RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-3972
Mailing Address - Country:US
Mailing Address - Phone:361-854-3159
Mailing Address - Fax:
Practice Address - Street 1:4949 EVERHART RD STE 101
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-3972
Practice Address - Country:US
Practice Address - Phone:361-854-3159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39567122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist