| Mark Fagin, D.d.s., M.s., Inc. | |
|
27800 Medical Center Rd Suite 155 Mission Viejo CA 92691-6410 | |
| (949) 364-0590 | |
| (949) 364-0739 |
| Full Name | Mark Fagin, D.d.s., M.s., Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 27800 Medical Center Rd, Mission Viejo, California |
| Authorized Official Name and Position | Mark Fagin (PRESIDENT) |
| Authorized Official Contact | 9495544434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Fagin, D.d.s., M.s., Inc. 27800 Medical Center Rd Suite 155 Mission Viejo CA 92691-6410 Ph: (949) 554-4434 | Mark Fagin, D.d.s., M.s., Inc. 27800 Medical Center Rd Suite 155 Mission Viejo CA 92691-6410 Ph: (949) 364-0590 |
| NPI Number | 1508870866 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508870866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 52161 (California) | Primary |
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