RONALD J FAGAN

INVERNESS, FL
NPI1760553614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: FL  DN11969)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
MR. RONALD J FAGAN DDS
1128 W MAIN ST
INVERNESS, FL 34450
Phone number: 352-344-2275
Mailing Address
MR. RONALD J FAGAN DDS
10662 HALLS RIVER RD
HOMOSASSA, FL 34448
Phone number: 352-621-3031