Organization
EAGLE FAMILY DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON ERNEST HAGLER (OWNER/DENTIST)
(504) 906-0099
Entity
Organization
Contact information
Practice address
7023 READ LANE, NEW ORLEANS, LA 70127
(504) 906-0099
Mailing address
1201 CANAL ST APT 501, NEW ORLEANS, LA 70112-2673
(504) 906-0099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5929
LA
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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