Organization
JOHN H. FAGIOLI, DMD, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H. FAGIOLI DMD (PRESIDENT)
(732) 477-8090
Entity
Organization
Contact information
Practice address
526 DRUM POINT RD, BRICK, NJ 08723-6902
(732) 477-8090
(732) 477-2016
Mailing address
526 DRUM POINT RD, BRICK, NJ 08723-6902
(732) 477-8090
(732) 477-2016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01476800
NJ
Other
Enumeration date
05/22/2007
Last updated
08/03/2007
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