Organization
HAGERTY FAMILY DENTAL, P.A.
Active
Parent organization
HAGERTY FAMILY DENTAL, P.A.
Other names
Hageryt Family Dental, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAGERTY FAMILY DENTAL, P.A.
Authorized official
DR. CURTIS LEE HAGERTY D.D.S. (DENTIST)
(479) 967-8881
Entity
Organization
Contact information
Practice address
2203 E PARKWAY DR, RUSSELLVILLE, AR 72802-2105
(479) 967-8881
(479) 967-4751
Mailing address
2203 E PARKWAY DR, RUSSELLVILLE, AR 72802-2105
(479) 967-8881
(479) 967-4751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3241
AR
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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