Individual
DR. BRUCE HAGGERTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4072 VICTORY BLVD, PORTSMOUTH, VA 23701-2820
(757) 337-4261
Mailing address
4316 HILLINGDON BND, CHESAPEAKE, VA 23321-2458
(214) 991-5166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28897
TX
1223G0001X
General Practice Dentistry
Primary
0401415199
VA
Other
Enumeration date
06/23/2013
Last updated
06/17/2016
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