Individual
DR. LAURA L. FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
933THREE MILE RD., NW STE 102, GRAND RAPIDS, MI 49544-8216
(616) 784-5993
(616) 784-5995
Mailing address
933THREE MILE RD., NW STE 102, 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
05/08/2007
Last updated
03/29/2012
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