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Organization

WILLIAM J. HAGERTY DDS INC.

Active
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 #2, CENTERVILLE, OH 45459
(937) 434-3987
(937) 434-2646
Mailing address
7058 CORPORATE WAY, SUITE #2, CENTERVILLE, OH 45459
(937) 434-3987
(937) 434-2646

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30016938
OH

Other

Enumeration date
10/02/2006
Last updated
08/22/2020
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