DR. RANDY FAGAN, DDS
Dentist
Active
Individual
NPI: 1487628731
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 5318 (OK) |
Frequently Asked Questions
NPI 1487628731 is the National Provider Identifier for DR. RANDY FAGAN, DDS, a Dentist provider located in Broken Arrow, OK. This NPI was enumerated on February 14, 2006.
DR. RANDY FAGAN, DDS practices at 2221 W WASHINGTON ST, Broken Arrow, OK 74012.
Quick Facts
- NPI
- 1487628731
- Type
- Individual
- Enumerated
- Feb 14, 2006
- Last Updated
- Jul 8, 2007
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