| Mark J. Hagele, Dds, Inc. | |
|
1380 19th Hole Dr Windsor CA 95492-7713 | |
| (707) 838-6560 | |
| Not Available |
| Full Name | Mark J. Hagele, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1380 19th Hole Dr, Windsor, California |
| Authorized Official Name and Position | Mark James Hagele (PRESIDENT/OWNER) |
| Authorized Official Contact | 7078386560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J. Hagele, Dds, Inc. 1380 19th Hole Dr Windsor CA 95492-7713 Ph: (707) 838-6560 | Mark J. Hagele, Dds, Inc. 1380 19th Hole Dr Windsor CA 95492-7713 Ph: (707) 838-6560 |
| NPI Number | 1578741955 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578741955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39410 (California) | Primary |
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