TIMOTHY B FAGAN DMD PC

MOULTRIE, GA
NPI1982717369
Entity TypeOrganization
Authorized ContactTIMOTHY B FAGAN
President
229-985-4674
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: GA  DN011154)
Enumeration Date2006-08-17
Last Update Date2020-08-22
Business Address
TIMOTHY B FAGAN DMD PC
7 LONGLEAF OFFICE PARK
MOULTRIE, GA 31768
Phone number: 229-985-4674
Mailing Address
TIMOTHY B FAGAN DMD PC
PO BOX 160
MOULTRIE, GA 31776
Phone number: 229-985-4674
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