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Dr. Mark Charles Fagan, DDS
Periodontist in San Jose, California
NPI 1376562827

Mark Charles Fagan is a Periodontist based in San Jose, CA and is specialized in Periodontics. Mark Charles Fagan practices in San Jose, CA and has the professional credentials of DDS. The NPI Number for Mark Charles Fagan is 1376562827 and holds a License No. 38419 (California).

The current practice location address for Mark Charles Fagan is 1660 Willow St, San Jose, CA and can be reached out via phone at 408-269-1060.

Location: 1660 Willow St, San Jose, CA, 95125-5101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376562827
Provider Name
Mark Charles Fagan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1660 Willow St, San Jose, CA, 95125-5101
Phone Number
408-269-1060
Fax Number
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1660 Willow St
City
San Jose
State
California
Zip
95125-5101
Phone Number
408-269-1060
Fax Number
person
Provider Business Mailing Address Details
Address
1660 Willow St
City
San Jose
State
California
Zip
95125-5101
Phone Number
408-269-1060
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
38419 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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