DR. Gordon Elwood Haag JR., D.D.S.
NPI #1215059837 in Fullerton, California
Provider Information
- NPI Number
- 1215059837
- Entity Type
- Individual
- Name
- DR. Gordon Elwood Haag JR., D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Jan 10, 2012
Practice Location
- Address
- 301 W BASTANCHURY RD
- Address 2
- STE.#260
- City
- Fullerton
- State
- California
- ZIP Code
- 92835-3419
- Phone
- (714) 879-4910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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