Individual
JOHN ROBERT FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10215 LAKE CITY WAY NE, SUITE E, SEATTLE, WA 98125-7757
(206) 632-2612
(206) 525-0818
Mailing address
10215 LAKE CITY WAY NE, SUITE E, SEATTLE, WA 98125-7757
(206) 632-2612
(206) 525-0818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3020
WA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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