Organization
BOWLING GREEN PEDIATRIC DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK LOUIS PACE DDS (PRESIDENT)
(419) 352-2593
Entity
Organization
Contact information
Practice address
1221 RIDGEWOOD DRIVE, SUITE B, BOWLING GREEN, OH 43402-2667
(419) 352-2593
(419) 354-4717
Mailing address
1221 RIDGEWOOD DRIVE, SUITE B, BOWLING GREEN, OH 43402-2667
(419) 352-2593
(419) 354-4717
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30014316
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0587262
—
OH
Enumeration date
12/04/2006
Last updated
08/22/2020
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