Individual
DR. CHRISTIE LYNN HAGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
46302 MCCLELLAN WAY, STERLING, VA 20165-7243
(703) 444-5095
Mailing address
46302 MCCLELLAN WAY, STERLING, VA 20165-7243
(703) 444-5095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410717
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178835
—
VA
Enumeration date
10/06/2006
Last updated
08/01/2011
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