Provider First Line Business Practice Location Address:
2444 S DETROIT AVE
Provider Second Line Business Practice Location Address:
C KEITH FUGUA DDS
Provider Business Practice Location Address City Name:
MAUMEE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-893-8431
Provider Business Practice Location Address Fax Number:
419-893-7234
Provider Enumeration Date:
11/20/2006