Individual
DR. HAAKEN REED MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4600 TAYLORSVILLE RD, LOUISVILLE, KY 40220-3530
(502) 499-0442
Mailing address
7727 UPTON OXMOOR LN APT 303, LOUISVILLE, KY 40222-3424
(502) 377-4683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10524
KY
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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