Individual
DR. ERIC A HAGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24005 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038-8232
(425) 432-2299
(425) 413-8249
Mailing address
24005 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038-8232
(425) 432-2299
(425) 413-8249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006162
WA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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