Individual
DR. MELANIE LYNN HAGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3142 49TH ST S, FARGO, ND 58104-4450
(701) 293-6999
(701) 293-6999
Mailing address
517 18TH AVE E, WEST FARGO, ND 58078-4224
(701) 238-8521
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2243
ND
Other
Enumeration date
09/24/2012
Last updated
03/14/2017
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