CHARLES KEITH FUQUA

MAUMEE, OH
NPI1003980103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OH  14255)
Enumeration Date2006-11-20
Last Update Date2012-12-11
Business Address
Mr. CHARLES KEITH FUQUA DDS
2444 S DETROIT AVE C KEITH FUGUA DDS
MAUMEE, OH 43537
Phone number: 419-893-8431
Mailing Address
Mr. CHARLES KEITH FUQUA DDS
2444 S DETROIT AVE C KEITH FUGUA DDS
MAUMEE, OH 43537
Phone number: 419-893-8431