DR. Llyndall Rhett Fagg, DDS MSD
NPI #1093715963 in Michigan City, Indiana
Provider Information
- NPI Number
- 1093715963
- Entity Type
- Individual
- Name
- DR. Llyndall Rhett Fagg, DDS MSD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS MSD
- Enumeration Date
- Jul 21, 2005
- Last Updated
- Sep 12, 2012
Practice Location
- Address
- 211 MEDICAL PLZ
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-3364
- Phone
- (219) 879-4559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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Organizations
| Provider Name | |
|---|---|
| Lisa Leniski, Dds, Msd, LLC | AI Deep Dive |
| L. Rhett Fagg, D.d.s., M.s.d., PC | AI Deep Dive |
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