Andrew Fagin

NPI #1447780770 in Bradenton, Florida

Provider Information

NPI Number: 1447780770
Entity Type: Individual
Name: Andrew Fagin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 19, 2017
Last Updated: Jun 19, 2017

Practice Location

Address: 109 44TH AVE E STE 200
City: Bradenton
State: Florida
ZIP Code: 34203-3639
Phone: (941) 357-1292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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