Individual
DR. DAVID CHARLES HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
340 FAIRFIELD AVE, BELLEVUE, KY 41073-1010
(859) 291-7621
(859) 491-3454
Mailing address
19 PEBBLE CREEK CIR, FORT THOMAS, KY 41075-2159
(859) 781-3521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4747
KY
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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