Provider First Line Business Practice Location Address:
1070 24TH AVE SW
Provider Second Line Business Practice Location Address:
PATRICK V HAGERTY, DMD, PC
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97321-7539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-926-3689
Provider Business Practice Location Address Fax Number:
541-928-6088
Provider Enumeration Date:
07/02/2012