Organization
DAVID C. HAGEDORN DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHARLES HAGEDORN DMD (PRESIDENT)
(859) 291-7621
Entity
Organization
Contact information
Practice address
340 FAIRFIELD AVE, BELLEVUE, KY 41073-1010
(859) 291-7621
Mailing address
340 FAIRFIELD AVE, BELLEVUE, KY 41073-1010
(859) 291-7621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4747
KY
Other
Enumeration date
09/20/2006
Last updated
09/16/2008
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