| Fowle & Fagin Orthodontics | |
|
27800 Medical Center Road Suite 155 Mission Viejo CA 92691-6442 | |
| (949) 364-0590 | |
| (949) 364-0739 |
| Full Name | Fowle & Fagin Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 27800 Medical Center Road, Mission Viejo, California |
| Authorized Official Name and Position | Steven Douglas Fowle (GENERAL PARTNER) |
| Authorized Official Contact | 9493640590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fowle & Fagin Orthodontics 27800 Medical Center Road Suite 155 Mission Viejo CA 92691-6442 Ph: (949) 364-0590 | Fowle & Fagin Orthodontics 27800 Medical Center Road Suite 155 Mission Viejo CA 92691-6442 Ph: (949) 364-0590 |
| NPI Number | 1598800864 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598800864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24777 (California) | Primary |
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