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1477557452
TIM R FAGAN
OKLAHOMA CITY, OK
NPI
1477557452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OK 4227)
Enumeration Date
2005-06-08
Last Update Date
2019-07-24
Business Address
Dr. TIM R FAGAN DDS, MS
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117-1214
Phone number: 405-271-5444
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Mailing Address
Dr. TIM R FAGAN DDS, MS
423 N VAN BUREN ST
ENID, OK 73703-4454
Phone number: 580-233-0043
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