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Dr. WALTER FOMBIN FOTO BDS DMD

Individual Provider (NPI-1) Active

Dentist, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1215038716
Provider Type
Individual Provider (NPI-1)
Credentials
BDS DMD
Status
Active

Contact & Location

Address
4202 10TH ST SE # 101, PUYALLUP, WA, 983742191
Phone
(253) 272-7574
Fax
(253) 272-9044

Specialties & Taxonomies

Dentist, Oral and Maxillofacial Surgery Primary License: WA #8264

All Addresses

LOCATION

4202 10TH ST SE # 101

PUYALLUP, WA, 983742191

(253) 272-7574

MAILING

4202 10TH ST SE STE 311

PUYALLUP, WA, 983742191

(253) 272-7574