| NPI | 1205348026 |
|---|---|
| Doing Business As | FERNWOOD FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FUGERE Owner/Dentist 801-885-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE-60625016) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |