Individual
DONNA JEAN CLARK-HAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2810 NACOGDOCHES RD, SAN ANTONIO, TX 78217-5827
(210) 828-9644
(210) 828-9646
Mailing address
15129 SEVEN L TRL, HELOTES, TX 78023-3844
(210) 695-4380
(210) 828-9646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14477
TX
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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