Organization
HAGARTY FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SEAN HAGARTY D.D.S. (PRESIDENT)
(319) 351-9723
Entity
Organization
Contact information
Practice address
2180 NORCOR AVE, SUITE C, CORALVILLE, IA 52241-9748
(319) 351-9723
Mailing address
2180 NORCOR AVE, SUITE C, CORALVILLE, IA 52241-9748
(319) 351-9723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8341
IA
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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