MR. Charles Keith Fuqua, DDS

NPI #1003980103 in Maumee, Ohio

Provider Information

NPI Number: 1003980103
Entity Type: Individual
Name: MR. Charles Keith Fuqua, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 20, 2006
Last Updated: Dec 11, 2012

Practice Location

Address: 2444 S DETROIT AVE
Address 2: C KEITH FUGUA DDS
City: Maumee
State: Ohio
ZIP Code: 43537
Phone: (419) 893-8431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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