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Organization
HAGAN RODRIGUEZ PERIODONTICS & IMPLANTS
Active
Organization
HAGAN RODRIGUEZ PERIODONTICS & IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LYNN VERMILLION (OFFICE MANAGER)
(517) 336-9880
Entity
Organization
Contact information
Practice address
335 W LAKE LANSING RD STE 100, EAST LANSING, MI 48823-8486
(517) 336-9880
(517) 336-9881
Mailing address
335 W LAKE LANSING RD STE 100, EAST LANSING, MI 48823-8486
(517) 336-9880
(517) 336-9881
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17100
MI
Other
Enumeration date
01/03/2007
Last updated
01/31/2023
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