Individual
DR. RICHARD L FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
147 E BRIDGE ST, ELYRIA, OH 44035-5218
(440) 323-2665
Mailing address
147 E BRIDGE ST, ELYRIA, OH 44035-5218
(440) 323-2665
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-015746
OH
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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