Mark J. Hagele, Dds, Inc.

NPI #1912184409 in Nevada City, California

Provider Information

NPI Number: 1912184409
Entity Type: Organization
Organization Name: Mark J. Hagele, Dds, Inc.
Primary Specialty: Dentist
Enumeration Date: Jan 28, 2008
Last Updated: Oct 31, 2014

Practice Location

Address: 101 PROVIDENCE MINE RD
Address 2: SUITE 103-B
City: Nevada City
State: California
ZIP Code: 95959-2939
Phone: (530) 265-6656

Authorized Official

Name: DR. MARK JAMES HAGELE, D.D.S.
Title: OWNER/PRESIDENT
Phone: (530) 265-6656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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