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1033804075
BREA FAGAN
LAUREL, MD
NPI
1033804075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MD 18058)
Enumeration Date
2023-04-06
Last Update Date
2024-08-07
Business Address
Dr. BREA FAGAN D.D.S
8730 CHERRY LN
LAUREL, MD 20707-6212
Phone number: 410-251-4932
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Mailing Address
Dr. BREA FAGAN D.D.S
6006 GRENFELL LOOP
BOWIE, MD 20720-5343
Phone number: 410-251-4932
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