Individual
ERIK GUNNAR HAGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5 PINE WEST PLZ, ALBANY, NY 12205-5593
(518) 456-7673
Mailing address
5 PINE WEST PLZ, ALBANY, NY 12205-5593
(518) 456-7673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059196-1
NY
Other
Enumeration date
08/08/2016
Last updated
07/21/2022
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