Organization
WILLIAM J. HAGERTY DDS INC
Active
Other names
Centerville Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
NEVADA D ENDICOTT (BUSINESS MANAGER)
(937) 837-1888
Entity
Organization
Contact information
Practice address
7058 CORPORATE WAY, SUITE 1, CENTERVILLE, OH 45459
(937) 433-8303
(937) 433-0795
Mailing address
7058 CORPORATE WAY, SUITE 1, CENTERVILLE, OH 45459
(937) 433-8303
(937) 433-0795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30016938
OH
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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