| NPI | 1114028412 |
|---|---|
| Other Name | PATRICIA M FACHORN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 7872) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |