Organization
WILLIAM J. HAGERTY DDS INC
Active
Other names
Eaton Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NEVADA D ENDICOTT (BUSINESS MANAGER)
(937) 837-1888
Entity
Organization
Contact information
Practice address
1024 NORTH BARRON STREET, EATON, OH 45320
(937) 456-6228
(937) 456-0150
Mailing address
1024 NORTH BARRON STREET, EATON, OH 45320
(937) 456-6228
(937) 456-0150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30016938
OH
Other
Enumeration date
10/07/2006
Last updated
08/22/2020
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