| NPI | 1922273705 |
|---|---|
| Doing Business As | DR. NICHOLAS J. FANGMAN |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS J FANGMAN Owner 712-792-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: IA 07225) |
| 122300000X Dentist | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2022-08-12 |