Individual
MARK HAGIGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15200 SHADY GROVE RD, SUITE 208, ROCKVILLE, MD 20850-3218
(301) 869-2600
(301) 208-6657
Mailing address
15200 SHADY GROVE RD, SUITE 208, ROCKVILLE, MD 20850-3218
(301) 869-2600
(301) 208-6657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16095
MD
122300000X
Dentist
Primary
DEN1001560
DC
1223G0001X
General Practice Dentistry
053887
NY
Other
Enumeration date
07/15/2008
Last updated
04/19/2017
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