Bowling Green Pediatric Dental Group INC
Dentist, Pediatric Dentistry in Bowling Green, OH. Organization (NPI-2).
NPI number1477611333
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477611333
- Entity type
- Organization (NPI-2)
- Legal business name
- Bowling Green Pediatric Dental Group INC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 30014316 | OH | Yes |
Practice location
1221 Ridgewood DriveSuite B
Bowling Green, OH 43402-2667
Phone 419-352-2593 · Fax 419-354-4717
Mailing address
1221 Ridgewood DriveSuite B
Bowling Green, OH 43402-2667
Phone 419-352-2593 · Fax 419-354-4717
Authorized official
Frank Louis Pace
President
4193522593
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