Individual
DR. RANDY LEE FOGLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
27 SANDY LANE, SUITE 206, LEWISTOWN, PA 17044-1320
(717) 242-2731
Mailing address
27 SANDY LANE, SUITE 206, LEWISTOWN, PA 17044-1320
(717) 242-2731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027079L
PA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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