RANDY FAGAN DDS, PC

Dentist

Active Organization
NPI: 1083888036

Practice Address

2221 W WASHINGTON ST
Broken Arrow, OK 74012

Phone: (918) 455-6406

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 5318 (OK)

Frequently Asked Questions

NPI 1083888036 is the National Provider Identifier for RANDY FAGAN DDS, PC, a Dentist provider located in Broken Arrow, OK. This NPI was enumerated on April 21, 2008.

Quick Facts

NPI
1083888036
Type
Organization
Enumerated
Apr 21, 2008
Last Updated
Apr 21, 2008

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