Individual
DR. CHRISTOPHER STORM HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18426 BROOKHURST ST, SUITE 101, FOUNTAIN VALLEY, CA 92708-6776
(714) 965-5255
Mailing address
18426 BROOKHURST ST, SUITE 101, FOUNTAIN VALLEY, CA 92708-6776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100344
CA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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