LEROY DEAN HAGEN

FARGO, ND
NPI1710991989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ND  1426)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- LEROY DEAN HAGEN D.D.S.
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-2700
Mailing Address
-- LEROY DEAN HAGEN D.D.S.
671 COTTONWOOD CT
WEST FARGO, ND 58078-3144
Phone number: 701-282-5026
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