Individual
DR. JACQUELINE RENEE FOGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
225 W 8TH ST, WAYNESBORO, PA 17268
(717) 762-0605
Mailing address
225 W 8TH ST, WAYNESBORO, PA 17268-2169
(717) 762-0605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041701
PA
Other
Enumeration date
06/11/2018
Last updated
08/06/2018
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