| Hagen & Pham Dental Partnership | |
|
18426 Brookhurst St Ste 101 Fountain Valley CA 92708-6777 | |
| (714) 965-5255 | |
| (714) 965-5253 |
| Full Name | Hagen & Pham Dental Partnership |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18426 Brookhurst St Ste 101, Fountain Valley, California |
| Authorized Official Name and Position | Christopher Storm Hagen (PARTNER) |
| Authorized Official Contact | 7149655255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hagen & Pham Dental Partnership 18426 Brookhurst St Ste 101 Fountain Valley CA 92708-6777 Ph: (714) 965-5255 | Hagen & Pham Dental Partnership 18426 Brookhurst St Ste 101 Fountain Valley CA 92708-6777 Ph: (714) 965-5255 |
| NPI Number | 1104462696 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 11/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104462696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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