Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIO FRAGOSO, DDS
ActiveMARIO FRAGOSO, DDS is a General Dentistry healthcare provider located in DOUGLAS, Arizona. NPI 1770584369 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DOUGLAS, AZ
Registration Details
- NPI Number
- 1770584369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2005 (21.064482325851 yrs)
- Last Updated
- Jun 12, 2013
- License
-
D4412 (AZ)
Practice Information
- Address
-
1100 F AVEDOUGLAS, AZ, 856071919Browse AZ providers · Browse ZIP 85607
- Phone
- 5203641429
- Fax
- 5203644261
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in DOUGLAS, AZ
| Name | Credential | NPI |
|---|---|---|
| MAURICIO G. LARIOS | DDS | 1902038623 |
| LISA IRISH DEESE | D.M.D. | 1639498595 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.