Individual
DR. EDWARD RICHARD HAGGERTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
818 NW PARK LN, LEES SUMMIT, MO 64063-1847
(816) 525-1655
(816) 524-7800
Mailing address
818 NW PARK LN, LEES SUMMIT, MO 64063-1847
(816) 525-1655
(816) 524-7800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12192
MO
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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