| Peter E. Hagen, Dds, Inc | |
|
18426 Brookhurst Street #101 Fountain Valley CA 92708 | |
| (714) 965-5255 | |
| (714) 965-5253 |
| Full Name | Peter E. Hagen, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18426 Brookhurst Street, Fountain Valley, California |
| Authorized Official Name and Position | Peter Eric Hagen (PRESIDENT) |
| Authorized Official Contact | 7142879503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter E. Hagen, Dds, Inc 18426 Brookhurst Street #101 Fountain Valley CA 92708 Ph: (714) 965-5255 | Peter E. Hagen, Dds, Inc 18426 Brookhurst Street #101 Fountain Valley CA 92708 Ph: (714) 965-5255 |
| NPI Number | 1033595996 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 08/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033595996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 32842 (California) | Primary |
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