John Charles Frachella DMD

NPI 1043360167 - Dentist - 1223P0221X

NPI Details
NPI 1043360167
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1424 SW 15TH
Phone (406) 338-6182
Business Location
PO BOX 254
MITCHELL OR, 97750-0254, US
Phone (541) 462-3055
Taxonomy Code 1223P0221X
License State Oregon
License Number D8841
Remove 1043360167 NPI Number

According to our database, Dr. John Charles Frachella DMD NPI is 1043360167, taxonomy code is 1223P0221X and license number is D8841, license state is located at Oregon. John Charles Frachella DMD physically located at 1424 Sw 15th, Redmond OR, 47756. NPI Number John Charles Frachella DMD has the Individual type.

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1043360167 NPI number is provided on an as is basis without warranty of any kind. 1043360167 is maintained by the National Plan & Provider Enumeration System. The contents of John Charles Frachella DMD are for informational purposes only.