Melanie Lynn Hageman, DDS Valid NPI

Individual provider · Pediatric Dentistry · Fargo, ND

NPI

1659622173

Type

Individual (Type 1)

Primary specialty

Pediatric Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0221X

License number

2243 (ND)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-09-24

Last updated

2017-03-14