Individual
JEAN HAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12050 N PANORAMA DR, #204, FOUNTAIN HILLS, AZ 85268-4173
(480) 278-9850
Mailing address
12050 N PANORAMA DR, #204, FOUNTAIN HILLS, AZ 85268-4173
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6044
AZ
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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