MARK W FAGAN

FORT DRUM, NY
NPI1588612790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: MD  11964)
Enumeration Date2006-05-04
Last Update Date2022-06-30
Business Address
Dr. MARK W FAGAN DDS
10205 N RIVA RIDGE LOOP
FORT DRUM, NY 13602-5457
Phone number: 315-772-5088
Mailing Address
Dr. MARK W FAGAN DDS
120 MILL CREEK LN
SACKETS HARBOR, NY 13685-9744
Phone number: 915-841-8661
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