Fagin Dental Corporation | |
7055 N Fresno St Ste 203a Fresno CA 93720-2957 | |
(559) 435-0966 | |
(559) 435-5851 |
Full Name | Fagin Dental Corporation |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 7055 N Fresno St Ste 203a, Fresno, California |
Authorized Official Name and Position | Mark Fagin-hutchings (OWNER/PRESIDENT) |
Authorized Official Contact | 9495544434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fagin Dental Corporation 11925 N Ridgeway Dr Fresno CA 93730-7075 Ph: (949) 554-4434 | Fagin Dental Corporation 7055 N Fresno St Ste 203a Fresno CA 93720-2957 Ph: (559) 435-0966 |
NPI Number | 1407489610 |
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Provider Enumeration Date | 02/16/2020 |
Last Update Date | 02/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407489610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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