DR. Steven Ralph Fudge, D.D.S.

NPI #1336145622 in Sylvania, Ohio

Provider Information

NPI Number
1336145622
Entity Type
Individual
Name
DR. Steven Ralph Fudge, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 22, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
4913 HARROUN RD
Address 2
STE 2
State
Ohio
ZIP Code
43560-2102
Phone
(419) 882-6896

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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