| Mark J. Hagele, Dds, Inc. | |
|
101 Providence Mine Rd Suite 103-b Nevada City CA 95959-2939 | |
| (530) 265-6656 | |
| Not Available |
| Full Name | Mark J. Hagele, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 101 Providence Mine Rd, Nevada City, California |
| Authorized Official Name and Position | Mark James Hagele (OWNER/PRESIDENT) |
| Authorized Official Contact | 5302656656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J. Hagele, Dds, Inc. 101 Providence Mine Rd Suite 103-b Nevada City CA 95959-2939 Ph: (530) 265-6656 | Mark J. Hagele, Dds, Inc. 101 Providence Mine Rd Suite 103-b Nevada City CA 95959-2939 Ph: (530) 265-6656 |
| NPI Number | 1912184409 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912184409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39410 (California) | Primary |
Jasper Yai, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Zion Street, Suite C, Nevada City, CA 95959 Phone: 530-265-4206 | |
Mark J. Hagele, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Zion St Ste D, Nevada City, CA 95959 Phone: 530-265-6656 |