| NPI | 1982772737 |
|---|---|
| Professional Name | MARK FAGIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 1223X0400X) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |