| Mario Fragoso, DDS | |
|
1100 F Ave, Douglas, AZ 85607-1919 | |
| (520) 364-1429 | |
| (520) 364-4261 |
| Full Name | Mario Fragoso |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1100 F Ave, Douglas, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770584369 | NPI | - | NPPES |
| 156069 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4412 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Fragoso, DDS 1205 F Avenue, Douglas, AZ 85607 Ph: (520) 364-1429 | Mario Fragoso, DDS 1100 F Ave, Douglas, AZ 85607-1919 Ph: (520) 364-1429 |
Christopher Rogowski, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-3285 | |
Lisa Irish Deese, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-3285 Fax: 520-364-3378 | |
Dr. Kristine L. Gomez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 720 E 11th St, Douglas, AZ 85607 Phone: 520-364-9718 Fax: 520-805-9391 | |
Mauricio G. Larios, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1109 E 8th St, Douglas, AZ 85607 Phone: 619-831-0437 Fax: 619-785-3404 |