MARK CHARLES FAGAN

SAN JOSE, CA
NPI1376562827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  38419)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
Dr. MARK CHARLES FAGAN D.D.S.
1660 WILLOW ST STE #3
SAN JOSE, CA 95125-5101
Phone number: 408-269-1060
Mailing Address
Dr. MARK CHARLES FAGAN D.D.S.
1660 WILLOW ST STE #3
SAN JOSE, CA 95125-5101
Phone number: 408-269-1060
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