Mark J. Hagele, Dds, Inc.

NPI #1578741955 in Windsor, California

Provider Information

NPI Number: 1578741955
Entity Type: Organization
Organization Name: Mark J. Hagele, Dds, Inc.
Primary Specialty: Dentist
Enumeration Date: Feb 7, 2008
Last Updated: Feb 7, 2008

Practice Location

Address: 1380 19TH HOLE DR
City: Windsor
State: California
ZIP Code: 95492-7713
Phone: (707) 838-6560

Authorized Official

Name: DR. MARK JAMES HAGELE, D.D.S.
Title: PRESIDENT/OWNER
Phone: (707) 838-6560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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