Richard Agnew Fagin, DDS

NPI #1538234695 in San Mateo, California

Provider Information

NPI Number: 1538234695
Entity Type: Individual
Name: Richard Agnew Fagin, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DDS
Enumeration Date: Nov 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 235 N SAN MATEO DR
Address 2: SUITE 600
City: San Mateo
State: California
ZIP Code: 94401
Phone: (650) 342-0213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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Organizations

Provider Name	Specialty	City
Richard a Fagin DDS a Professional Corporation	Oral & Maxillofacial Surgery	San Mateo	AI Deep Dive

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