Individual
AUSTIN MICHAEL FRUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
728 GOOSE NECK DR, LITITZ, PA 17543-6629
(703) 615-5198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NA
OH
Other
Enumeration date
04/07/2022
Last updated
04/17/2022
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