Individual
ROBERT D HAGUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
504 N POPLAR ST, PEABODY, KS 66866-1233
(620) 983-2285
(620) 983-2287
Mailing address
504 N POPLAR ST, PEABODY, KS 66866-1233
(620) 983-2285
(620) 983-2287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5126
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102738
—
KS
Enumeration date
10/13/2005
Last updated
07/08/2007
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