DR. Chad William Fegan, D.D.S.

NPI #1063727402 in Red Lake, Minnesota

Provider Information

NPI Number
1063727402
Entity Type
Individual
Name
DR. Chad William Fegan, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Aug 10, 2010
Last Updated
Aug 10, 2010

Practice Location

Address
24760 HOSPITAL DRIVE
ZIP Code
56671
Phone
(218) 679-3912

Specialties & Taxonomy Codes

Specialty
Dentist

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