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1093474819
RICHARD A FAGIN DDS A PROFESSIONAL CORPORATION
SAN MATEO, CA
NPI
1093474819
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Entity Type
Organization
Authorized Contact
ADAM PETER FAGIN
Surgeon
650-823-9606
Organization Subpart ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2021-12-08
Last Update Date
2022-01-20
Business Address
RICHARD A FAGIN DDS A PROFESSIONAL CORPORATION
235 N SAN MATEO DR STE 600
SAN MATEO, CA 94401-2675
Phone number: 650-342-0213
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Mailing Address
RICHARD A FAGIN DDS A PROFESSIONAL CORPORATION
235 N SAN MATEO DR STE 600
SAN MATEO, CA 94401-2675
Phone number: 650-342-0213
Copy
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