Individual
DR. STEVEN RALPH FUDGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4913 HARROUN RD, STE 2, SYLVANIA, OH 43560-2102
(419) 882-6896
(419) 882-3162
Mailing address
4913 HARROUN RD, STE 2, SYLVANIA, OH 43560-2102
(419) 882-6896
(419) 882-3162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16059
OH
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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