Individual
JUAN C FABREGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18134 POWELL RD, BROOKSVILLE, FL 34604-8141
(352) 848-1050
Mailing address
18134 POWELL RD, BROOKSVILLE, FL 34604-8141
(352) 848-1050
(352) 848-1094
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 21137
FL
Other
Enumeration date
01/20/2015
Last updated
04/10/2019
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