Individual
DR. THOMAS JOSEPH FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1205 MEADOW BRIDGE DR, BEAVERCREEK, OH 45434-6380
(937) 426-5411
(937) 426-9765
Mailing address
1205 MEADOW BRIDGE DR, BEAVERCREEK, OH 45434-6380
(937) 426-5411
(937) 426-9765
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
17216
OH
Other
Enumeration date
07/27/2006
Last updated
02/19/2008
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