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Search › New York › 104100000X

Jessica Hagedorn

NPI 1619581642 · on the registry since 2020 · sole proprietor

Practice

Address
3651 Bell Blvd
Bayside, NY 11361
Phone
(347) 893-8777
Organisation at this address
Bayside Laser Dental Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
171M00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York