Bucyrus Family Dentist Group

NPI #1144667577 in Bucyrus, Ohio

Provider Information

NPI Number: 1144667577
Entity Type: Organization
Organization Name: Bucyrus Family Dentist Group
Primary Specialty: Dentist - General Practice
Enumeration Date: May 24, 2013
Last Updated: May 24, 2013

Practice Location

Address: 117 S POPLAR ST
City: Bucyrus
State: Ohio
ZIP Code: 44820-2209
Phone: (419) 562-9901

Authorized Official

Name: DAVID M RAIFFE
Title: DENTIST/OWNER
Phone: (419) 562-9901

Specialties & Taxonomy Codes

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

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