Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 13029 | OH |
NPI | 1053520684 |
---|---|
Provider Name | Dr. Frederic Howard Arnold |
First Address | New Richmond, OH 45157-9742 |
Second Address | Cincinnati, OH 45202-2808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |