| Fagin Dental Corporation | |
|
7055 N Fresno St Ste 203a Fresno CA 93720-2957 | |
| (559) 435-0966 | |
| (559) 435-5851 |
| Full Name | Fagin Dental Corporation |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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