Organization
JACOB D. HAGER, D.D.S., M.S., P.C.
Active
Other names
Periodontal Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB DANIEL HAGER D.D.S., M.S. (PRESIDENT)
(405) 636-1411
Entity
Organization
Contact information
Practice address
8203 S WALKER AVE, OKLAHOMA CITY, OK 73139-9451
(405) 636-1411
(405) 636-1197
Mailing address
8203 S WALKER AVE, OKLAHOMA CITY, OK 73139-9451
(405) 636-1411
(405) 636-1197
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5718
OK
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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