| NPI | 1780103895 |
|---|---|
| Doing Business As | HAGGERTY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRETT RYAN HAGGERTY Owner/ Partner 505-268-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD4701) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-07-21 |