Mario Fragoso, DDS

NPI #1770584369 in Douglas, Arizona

Provider Information

NPI Number: 1770584369
Entity Type: Individual
Name: Mario Fragoso, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 3, 2005
Last Updated: Jun 12, 2013

Practice Location

Address: 1100 F AVE
City: Douglas
State: Arizona
ZIP Code: 85607-1919
Phone: (520) 364-1429

Specialties & Taxonomy Codes

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

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Organizations

Provider Name	Specialty	City
Douglas Dental, LLC	Dentist - General Practice	Douglas	AI Deep Dive

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