Organization
MARK FAGIN, D.D.S., M.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK FAGIN D.D.S., M.S. (PRESIDENT)
(949) 554-4434
Entity
Organization
Contact information
Practice address
27800 MEDICAL CENTER RD, SUITE 155, MISSION VIEJO, CA 92691-6410
(949) 364-0590
(949) 364-0739
Mailing address
27800 MEDICAL CENTER RD, SUITE 155, MISSION VIEJO, CA 92691-6410
(949) 554-4434
(949) 566-9282
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
52161
CA
Other
Enumeration date
07/29/2006
Last updated
07/21/2022
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