Individual
WHITTNEY HAGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
34460 MONTEREY AVE, PALM DESERT, CA 92211-6008
(760) 610-0358
Mailing address
72336 FOOTHILL DR, TWENTYNINE PALMS, CA 92277-2974
(863) 588-8559
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
32688
CA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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