Individual
DR. DIRK W. HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
358 W 1ST AVE, PARKESBURG, PA 19365-1202
(610) 857-9244
Mailing address
358 W 1ST AVE, PARKESBURG, PA 19365-1202
(610) 857-9244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22545
PA
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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