NPI | 1407489610 |
---|---|
Doing Business As | FAGIN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MARK FAGIN-HUTCHINGS Owner/President 949-554-4434 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-02-16 |
Last Update Date | 2020-02-16 |