Individual
DR. DOUGLAS R. HASEGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3347 DEMPSTER ST, SKOKIE, IL 60076-2411
(847) 674-0577
(847) 674-0590
Mailing address
3347 DEMPSTER ST, SKOKIE, IL 60076-2411
(847) 674-0577
(847) 674-0590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016753
IL
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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