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Mario Fragoso, DDS
General Practice Dentistry in Douglas, Arizona
NPI 1770584369

Mario Fragoso is a General Practice Dentistry based in Douglas, AZ and is specialized in General Practice. Mario Fragoso practices in Douglas, AZ and has the professional credentials of DDS. The NPI Number for Mario Fragoso is 1770584369 and holds a License No. D4412 (Arizona).

The current practice location address for Mario Fragoso is 1100 F Ave, Douglas, AZ and can be reached out via phone at 520-364-1429 and via fax at 520-364-4261.

Location: 1100 F Ave, Douglas, AZ, 85607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770584369
Provider Name
Mario Fragoso
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1100 F Ave, Douglas, AZ, 85607
Phone Number
520-364-1429
Fax Number
520-364-4261
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
156069 05 AZ
institution
Provider Business Practice Location Address Details
Address
1100 F Ave
City
Douglas
State
Arizona
Zip
85607-1919
Phone Number
520-364-1429
Fax Number
520-364-4261
person
Provider Business Mailing Address Details
Address
1100 F Ave
City
Douglas
State
Arizona
Zip
85607-1919
Phone Number
520-364-1429
Fax Number
520-364-4261
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D4412 (Arizona)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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