NPI | 1417193467 |
---|---|
Doing Business As | HAGERYT FAMILY DENTAL, P.A. |
Entity Type | Organization |
Authorized Contact | CURTIS LEE HAGERTY Dentist 479-967-8881 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3241) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2008-12-22 |