Organization
DR. HAGEMAN DDS
Active
Other names
Dr. Hageman Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANIE MARIE MATHESON (INSURANCE AND BILLING REP.)
(214) 371-4763
Entity
Organization
Contact information
Practice address
3606 MARVIN D LOVE FWY, DALLAS, TX 75224-4442
(214) 371-4763
(214) 372-6057
Mailing address
3606 MARVIN D LOVE FWY, DALLAS, TX 75224-4442
(214) 371-4763
(214) 372-6057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009688501
—
TX
Enumeration date
06/10/2008
Last updated
06/10/2008
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