DR. Brea Fagan, D.D.S

NPI #1033804075 in Laurel, Maryland

Provider Information

NPI Number: 1033804075
Entity Type: Individual
Name: DR. Brea Fagan, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Apr 6, 2023
Last Updated: Aug 7, 2024

Practice Location

Address: 8730 CHERRY LN
City: Laurel
State: Maryland
ZIP Code: 20707-6212
Phone: (410) 251-4932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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