RANDY FAGAN DDS, PC

BROKEN ARROW, OK
NPI1083888036
Entity TypeOrganization
Authorized ContactRANDY JAMES FAGAN
President
918-455-6406
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  5318)
Enumeration Date2008-04-21
Last Update Date2008-04-21
Business Address
RANDY FAGAN DDS, PC
2221 W WASHINGTON ST
BROKEN ARROW, OK 74012-6726
Phone number: 918-455-6406
Mailing Address
RANDY FAGAN DDS, PC
2221 W WASHINGTON ST
BROKEN ARROW, OK 74012-6726
Phone number: 918-455-6406
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