Organization
ANDREA M FONNER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA FONNER DDS (OWNER)
(206) 579-5163
Entity
Organization
Contact information
Practice address
1420 3RD ST SE, PUYALLUP, WA 98372-3730
(206) 579-5163
Mailing address
6947 COAL CREEK PKWY SE # 707, NEWCASTLE, WA 98059-3136
(206) 579-5163
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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