Organization
HAGERTY & MAZZOLA D.D.S., INC
Active
Other names
The Dental Depot
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOSEPH HAGERTY D.D.S. (PRESIDENT/PARTNER)
(937) 837-1888
Entity
Organization
Contact information
Practice address
18 N 4TH ST, MIAMISBURG, OH 45342-2843
(937) 866-8484
(937) 866-8981
Mailing address
321 N BROADWAY ST, TROTWOOD, OH 45426-3507
(937) 837-1888
(937) 837-1886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19230
OH
Other
Enumeration date
09/14/2005
Last updated
08/22/2020
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