ANDREW FAGIN

BRADENTON, FL
NPI1447780770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN22597)
Enumeration Date2017-06-19
Last Update Date2017-06-19
Business Address
ANDREW FAGIN
109 44TH AVE E STE 200
BRADENTON, FL 34203-3639
Phone number: 941-357-1292
Mailing Address
ANDREW FAGIN
133 BELLA VISTA TER UNIT D
NORTH VENICE, FL 34275-6764
Phone number: