Individual
DR. GARY E. HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
90 MADISON ST, STE 406, DENVER, CO 80206-5418
(303) 393-6006
Mailing address
90 MADISON ST, STE 406, DENVER, CO 80206-5418
(303) 393-6006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104680
CO
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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