Mark Robert Hageman, DDS

NPI #1093999781 in Medford, Oregon

Provider Information

NPI Number: 1093999781
Entity Type: Individual
Name: Mark Robert Hageman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 18, 2007
Last Updated: Dec 18, 2007

Practice Location

Address: 925 TOWN CENTRE DR
Address 2: SUITE B
City: Medford
State: Oregon
ZIP Code: 97504-6186
Phone: (541) 245-0247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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