Individual
DR. WALTER FOMBIN FOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS DMD
Contact information
Practice address
4202 10TH ST SE # 101, PUYALLUP, WA 98374-2191
(253) 272-7574
(253) 272-9044
Mailing address
4202 10TH ST SE STE 311, PUYALLUP, WA 98374-2191
(253) 272-7574
(253) 272-9044
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8264
WA
Other
Enumeration date
09/26/2006
Last updated
03/17/2018
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