Individual
DR. GREGORY MANNING FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
33609 REDMOND-FALL CITY RD, FALL CITY, WA 98024
(425) 222-7011
Mailing address
PO BOX 1029, FALL CITY, WA 98024
(425) 222-7011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005563
WA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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