Heather Hagen Dds & Miranda Lacy Dds

NPI 1427125996 - Dentist - 122300000X

NPI Details
NPI 1427125996
Enumeration Date 11/29/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUSIE B SUSIE
Position FINANCIAL COORDINATOR
Phone (972) 312-0000
Fax (972) 312-0600
Practice Location
3604 PRESTON ROAD
SUITE 400
PLANO TX, 75093, US
Phone (972) 312-0000
Fax (972) 312-0600
Business Location
3604 PRESTON ROAD
SUITE 400
PLANO TX, 75093, US
Phone (972) 312-0000
Fax (972) 312-0600
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 19424
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According to our database, Heather Hagen Dds & Miranda Lacy Dds NPI is 1427125996, taxonomy code is 122300000X and license number is 19424, license state is located at Texas. Heather Hagen Dds & Miranda Lacy Dds physically located at 3604 Preston Road, Plano TX, 75093. NPI Number 1033115704 has the healthcare provider type.

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1427125996 NPI number is provided on an as is basis without warranty of any kind. 1427125996 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Hagen Dds & Miranda Lacy Dds are for informational purposes only.