Organization
FAGIN DENTAL CORPORATION
Active
Other names
Fagin Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK FAGIN-HUTCHINGS D.D.S., M.S. (OWNER/PRESIDENT)
(949) 554-4434
Entity
Organization
Contact information
Practice address
7055 N FRESNO ST STE 203A, FRESNO, CA 93720-2957
(559) 435-0966
(559) 435-5851
Mailing address
11925 N RIDGEWAY DR, FRESNO, CA 93730-7075
(949) 554-4434
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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