LLYNDALL RHETT FAGG

MICHIGAN CITY, IN
NPI1093715963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IN  12007148A)
Enumeration Date2005-07-21
Last Update Date2012-09-12
Business Address
Dr. LLYNDALL RHETT FAGG DDS MSD
211 MEDICAL PLZ
MICHIGAN CITY, IN 46360-3364
Phone number: 219-879-4559
Mailing Address
Dr. LLYNDALL RHETT FAGG DDS MSD
211 MEDICAL PLZ
MICHIGAN CITY, IN 46360-3364
Phone number: 219-879-4559
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