Gary Lee Hagen DDS

NPI 1023116779 - Dentist - 122300000X

NPI Details
NPI 1023116779
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
150 3RD ST NW
WELLS MN, 56097-0010, US
Phone (507) 553-5085
Fax (507) 553-5948
Business Location
PO BOX 10
150 3RD ST NW
WELLS MN, 56097-0010, US
Phone (507) 553-5085
Fax (507) 553-5948
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 8651
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According to our database, Gary Lee Hagen DDS NPI is 1023116779, taxonomy code is 122300000X and license number is 8651, license state is located at Minnesota. Gary Lee Hagen DDS physically located at 150 3rd St Nw, Wells MN, 56097-0010. NPI Number Gary Lee Hagen DDS has the Individual type.

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1023116779 NPI number is provided on an as is basis without warranty of any kind. 1023116779 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Lee Hagen DDS are for informational purposes only.