Richard a Fagin DDS a Professional Corporation
NPI #1093474819 in San Mateo, California
Provider Information
- NPI Number
- 1093474819
- Entity Type
- Organization
- Organization Name
- Richard a Fagin DDS a Professional Corporation
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Dec 8, 2021
- Last Updated
- Jan 20, 2022
Practice Location
- Address
- 235 N SAN MATEO DR STE 600
- City
- San Mateo
- State
- California
- ZIP Code
- 94401-2675
- Phone
- (650) 342-0213
Authorized Official
- Name
- ADAM PETER FAGIN, DMD, MD
- Title
- SURGEON
- Phone
- (650) 823-9606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
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