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Organization
WILLIAM J. HAGERTY DENTAL ASSOCIATES LLC
Active
Organization
WILLIAM J. HAGERTY DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY A ROGERS (OFFICE MANAGER)
(937) 433-8303
Entity
Organization
Contact information
Practice address
303 N. MAIN ST., SUITE 103, CENTERVILLE, OH 45459-2565
(937) 433-6903
Mailing address
7058 CORPORATE WAY, SUITE 1, DAYTON, OH 45459-4295
(937) 433-8303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16938
OH
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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