# WARREN & HAGERMAN DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Warren & Hagerman Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730863572
- **Authorized official:** MRS. SHANNON JOANN WARREN (BUSINESS MANAGER)
- **Authorized official phone:** (623) 935-9376

## Contact information

- **Practice address:** 111 W WIGWAM BLVD STE A, LITCHFIELD PARK, AZ 85340-4636
- **Practice address phone:** (602) 692-8312
- **Mailing address:** 111 W WIGWAM BLVD STE A, LITCHFIELD PARK, AZ 85340-4636
- **Mailing address phone:** (623) 935-9376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2023
- **Last updated:** 06/23/2023