| Fogel and Marshall Orthodontics | |
|
147 E Bridge St Elyria OH 44035-5218 | |
| (419) 202-4727 | |
| Not Available |
| Full Name | Fogel and Marshall Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 147 E Bridge St, Elyria, Ohio |
| Authorized Official Name and Position | Laurel K Marshall (SOLE MEMBER) |
| Authorized Official Contact | 4192024727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fogel and Marshall Orthodontics 984 S Norwalk Rd W Norwalk OH 44857-9017 Ph: (419) 202-4727 | Fogel and Marshall Orthodontics 147 E Bridge St Elyria OH 44035-5218 Ph: (419) 202-4727 |
| NPI Number | 1770121428 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770121428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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