DR. Carlton Bruce Hagstrom, D.D.S.

NPI #1144243585 in Fox Lake, Illinois

Provider Information

NPI Number
1144243585
Entity Type
Individual
Name
DR. Carlton Bruce Hagstrom, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
208 S US HIGHWAY 12
ZIP Code
60020-1928
Phone
(847) 587-5400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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