Organization
LAURA L. FOGLE, D.D.S., M.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA L. FOGLE D.D.S, M.S. (OWNER)
(616) 784-5993
Entity
Organization
Contact information
Practice address
890 THREE MILE RD., NW, GRAND RAPIDS, MI 49544-8216
(616) 784-5993
(616) 784-5995
Mailing address
890 THREE MILE RD., NW, GRAND RAPIDS, MI 49544-8216
(616) 784-5993
(616) 784-5995
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901016682
MI
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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