Individual
DR. CHARLES ROBERT FAHNCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3000 ARLINGTON AVE, MAIL STOP 1092, TOLEDO, OH 43614-2595
(419) 383-3776
Mailing address
6038 WHITE EAGLE W, SYLVANIA, OH 43560-9599
(419) 824-2108
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
2901016846
MI
1223P0700X
Prosthodontics
Primary
30-01-9124
OH
Other
Enumeration date
11/16/2006
Last updated
02/23/2011
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