DR. Antonio Fandino Agra, DMD

NPI #1033277215 in Artesia, California

Provider Information

NPI Number: 1033277215
Entity Type: Individual
Name: DR. Antonio Fandino Agra, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 17613 PIONEER BLVD
City: Artesia
State: California
ZIP Code: 90701
Phone: (562) 809-8482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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