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Organization
HAGEN & PHAM DENTAL PARTNERSHIP
Active
Organization
HAGEN & PHAM DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER STORM HAGEN DDS (PARTNER)
(714) 965-5255
Entity
Organization
Contact information
Practice address
18426 BROOKHURST ST STE 101, FOUNTAIN VALLEY, CA 92708-6777
(714) 965-5255
(714) 965-5253
Mailing address
18426 BROOKHURST ST STE 101, FOUNTAIN VALLEY, CA 92708-6777
(714) 965-5255
(714) 965-5253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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