Richard Hagstrom, DDS
NPI 1316057367 · Dentist · La Mesa, CA
Richard Hagstrom, DDS is a Dentist provider in La Mesa, CA (NPI 1316057367).
Provider details
- NPI number
- 1316057367
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35401 (CA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.