Individual
ASHLEY D FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1050 1ST ST NE STE 101, WASHINGTON, DC 20002-5859
(202) 642-9229
Mailing address
1050 1ST ST NE STE 101, WASHINGTON, DC 20002-5859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1001743
DC
Other
Enumeration date
07/10/2017
Last updated
03/27/2020
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