Richard a Fagin DDS a Professional Corporation
Richard a Fagin DDS a Professional Corporation is an Oral & Maxillofacial Surgery (D.M.D.) in San Mateo, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
235 N San Mateo Dr Ste 600San Mateo, CA 94401-2675
Phone: (650) 342-0213
Fax: (650) 342-0636
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Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X |
|---|
Record details
| NPI number | 1093474819 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adam Fagin — Surgeon · (650) 823-9606 |
| NPI enumerated | December 8, 2021 |
| Last updated in NPPES | January 20, 2022 |
| Certification date | January 20, 2022 |
| Mailing address | 235 N San Mateo Dr Ste 600, San Mateo, CA 94401-2675 |
Other providers in San Mateo
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Richard Agnew Fagin, DDS
235 N San Mateo Dr Ste 600, San Mateo, CA 94401 · (650) 342-0213