Individual
MARK P HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2981 N WEBB RD, WICHITA, KS 67226
(316) 685-2731
(316) 685-6546
Mailing address
2981 N WEBB RD, WICHITA, KS 67226
(316) 685-2731
(316) 685-6546
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
60961
KS
Other
Enumeration date
07/08/2013
Last updated
07/21/2020
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