Individual
DR. MARSHALL DARYL FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6471 TRANSIT RD, SUITE #1, EAST AMHERST, NY 14051-1427
(716) 633-7070
(716) 689-6327
Mailing address
6471 TRANSIT RD, SUITE #1, EAST AMHERST, NY 14051-1427
(716) 633-7070
(716) 689-6327
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
030795
NY
Other
Enumeration date
07/21/2006
Last updated
10/23/2012
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