DR. MARK FAGAN, D.D.S.
Dentist - Periodontics
Active
Individual
NPI: 1376562827
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 38419 (CA) |
Frequently Asked Questions
NPI 1376562827 is the National Provider Identifier for DR. MARK FAGAN, D.D.S., a Dentist - Periodontics provider located in San Jose, CA. This NPI was enumerated on July 18, 2006.
DR. MARK FAGAN, D.D.S. practices at 1660 WILLOW ST, STE #3, San Jose, CA 95125.
Quick Facts
- NPI
- 1376562827
- Type
- Individual
- Enumerated
- Jul 18, 2006
- Last Updated
- Jul 8, 2007
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