Christopher Storm Hagen, DDS Valid NPI
Individual provider · Dentist · Fountain Valley, CA
- NPI
- 1932551439
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 100344 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-07-07
- Last updated
- 2016-07-07
Practice location
18426 Brookhurst St, Suite 101
Fountain Valley, CA 92708-6776
(714) 965-5255