Individual
DR. BETSY ANN HAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
521 N 11TH ST, RICHMOND, VA 23298-5045
(804) 828-3368
Mailing address
PO BOX 980566, RICHMOND, VA 23298-0566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005311
VA
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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