Gary E Hagen

NPI #1073819884 in Denver, Colorado

Provider Information

NPI Number: 1073819884
Entity Type: Organization
Organization Name: Gary E Hagen
Primary Specialty: Dentist
Enumeration Date: Jan 27, 2011
Last Updated: Mar 21, 2011

Practice Location

Address: 90 MADISON ST
Address 2: SUITE 406
City: Denver
State: Colorado
ZIP Code: 80206-5418
Phone: (303) 393-6006

Authorized Official

Name: DR. GARY EDWARD HAGEN, DDS
Title: OWNER
Phone: (303) 393-6006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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