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Individual
DR. IAN FUGER
Active
Individual
DR. IAN FUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009463
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164415
WA ST DL&I #
WA
05
—
5040654
—
WA
Enumeration date
11/03/2006
Last updated
07/09/2007
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