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1598742082
TANA LEE FAGAN
ALBANY, NY
NPI
1598742082
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Other Name
TANA LEE HOPPE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 46177)
Enumeration Date
2005-12-27
Last Update Date
2016-04-25
Business Address
Dr. TANA LEE FAGAN DDS
314 S MANNING BLVD
ALBANY, NY 12208-1708
Phone number: 518-437-5731
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Mailing Address
Dr. TANA LEE FAGAN DDS
8 POND HOLLOW RD
AVERILL PARK, NY 12018-9728
Phone number: 518-674-2878
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