DEREK TIMOTHY FAGEN

SAN ANTONIO, TX
NPI1184836991
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IA  08256)
Enumeration Date2007-05-04
Last Update Date2022-11-01
Business Address
Dr. DEREK TIMOTHY FAGEN DDS
3038 WILLIAM HARDEE RD
SAN ANTONIO, TX 78234-2532
Phone number: 210-427-6813
Mailing Address
Dr. DEREK TIMOTHY FAGEN DDS
1729 CRYSTAL BRIDGES
SAN ANTONIO, TX 78260-2198
Phone number: 210-427-6813
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