FREDERICK WAYNE BOURGEOIS

COLUMBUS, OH
NPI1801835954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OH  30-015399)
Enumeration Date2006-06-05
Last Update Date2007-07-08
Business Address
DR. FREDERICK WAYNE BOURGEOIS DDS
5400 N HIGH ST
COLUMBUS, OH 43214-1117
Phone number: 614-436-2817
Mailing Address
DR. FREDERICK WAYNE BOURGEOIS DDS
5400 N HIGH ST
COLUMBUS, OH 43214-1117
Phone number: 614-436-2817