WALTER FOMBIN FOTO

PUYALLUP, WA
NPI1215038716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: WA  8264)
Enumeration Date2006-09-26
Last Update Date2018-03-17
Business Address
DR. WALTER FOMBIN FOTO BDS DMD
4202 10TH ST SE # 101
PUYALLUP, WA 98374-2191
Phone number: 253-272-7574
Mailing Address
DR. WALTER FOMBIN FOTO BDS DMD
4202 10TH ST SE STE 311
PUYALLUP, WA 98374-2191
Phone number: 253-272-7574