JAY BRADFORD FOGLE

BREMERTON, WA
NPI1962713057
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  60140278)
Enumeration Date2010-06-23
Last Update Date2010-06-23
Business Address
Dr. JAY BRADFORD FOGLE DDS
1275 NE FRANKLIN AVE SUITE A
BREMERTON, WA 98311-3005
Phone number: 360-377-0803
Mailing Address
Dr. JAY BRADFORD FOGLE DDS
14643 CENTRAL VALLEY RD NW
POULSBO, WA 98370-8167
Phone number: 206-992-4148