JOHN CHARLES FRACHELLA

REDMOND, OR
NPI1043360167
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: OR  D8841)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
Dr. JOHN CHARLES FRACHELLA DMD
1424 SW 15TH
REDMOND, OR 47756
Phone number: 406-338-6182
Mailing Address
Dr. JOHN CHARLES FRACHELLA DMD
PO BOX 254
MITCHELL, OR 97750-0254
Phone number: 541-462-3055