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1215038716
WALTER FOMBIN FOTO
PUYALLUP, WA
NPI
1215038716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA 8264)
Enumeration Date
2006-09-26
Last Update Date
2018-03-17
Business Address
Dr. WALTER FOMBIN FOTO BDS DMD
4202 10TH ST SE # 101
PUYALLUP, WA 98374-2191
Phone number: 253-272-7574
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Mailing Address
Dr. WALTER FOMBIN FOTO BDS DMD
4202 10TH ST SE STE 311
PUYALLUP, WA 98374-2191
Phone number: 253-272-7574
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