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NPI Code Detail

MEDICARE: DR. FARAH HAGMAN DDS

MEDICARE: DR. FARAH HAGMAN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist00203205CO

General Provider Information

NPI Number : 1992235410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARAH HAGMAN DDS
Provider Business Mailing Address
First Line : 3709 S MISSION PKWY
Second Line :
City : AURORA
State : CO
Zip : 80013-2405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15159 E COLFAX AVE UNIT B
Second Line :
City : AURORA
State : CO
Zip : 80011-5707
Country : US
Telephone Number : 303-341-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2017
Last Update Date : 06/18/2017

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