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1174660856
HAROLD HARVEY FAGAN
ALEXANDRIA, VA
NPI
1174660856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: VA 0401004958)
Enumeration Date
2007-01-31
Last Update Date
2008-08-04
Business Address
DR. HAROLD HARVEY FAGAN D.D.S.
4660 KENMORE AVE SUITE 300
ALEXANDRIA, VA 22304-1313
Phone number: 703-823-2422
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Mailing Address
DR. HAROLD HARVEY FAGAN D.D.S.
4660 KENMORE AVE SUITE 300
ALEXANDRIA, VA 22304-1313
Phone number: 703-823-2422
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