DR. Harold Harvey Fagan, D.D.S.

NPI #1174660856 in Alexandria, Virginia

Provider Information

NPI Number
1174660856
Entity Type
Individual
Name
DR. Harold Harvey Fagan, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Periodontics
Credential
D.D.S.
Enumeration Date
Jan 31, 2007
Last Updated
Aug 4, 2008

Practice Location

Address
4660 KENMORE AVE
Address 2
SUITE 300
ZIP Code
22304-1313
Phone
(703) 823-2422

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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