Fred Richard Place DMD

NPI 1063510832 - Dentist - 122300000X

NPI Details
NPI 1063510832
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/20/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
RR 6 BOX 6055
TOWANDA PA, 18848, US
Phone (570) 265-3617
Fax (570) 262-8400
Business Location
323 GOLDEN MILE ROAD
TOWANDA PA, 18848, US
Phone (570) 265-3617
Fax (570) 262-8400
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS025270L
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According to our database, Dr. Fred Richard Place DMD NPI is 1063510832, taxonomy code is 122300000X and license number is DS025270L, license state is located at Pennsylvania. Fred Richard Place DMD physically located at Rr 6 Box 6055, Towanda PA, 18848. NPI Number Fred Richard Place DMD has the Individual type.

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1063510832 NPI number is provided on an as is basis without warranty of any kind. 1063510832 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Richard Place DMD are for informational purposes only.