| NPI | 1194043737 |
|---|---|
| Professional Name | TERRY L HAGEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN24659) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.02281) |
| 122300000X Dentist (Licence: AZ D011770) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2025-11-17 |