Individual
SANDRA FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 S 18TH ST, YAKIMA, WA 98901-3654
(509) 573-5530
(509) 654-7012
Mailing address
1120 S 18TH ST, YAKIMA, WA 98901-3654
(509) 573-5530
(509) 654-7012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60880906
WA
1223D0001X
Public Health Dentistry
D13066
MN
Other
Enumeration date
08/06/2014
Last updated
03/17/2021
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