Individual
JOHN K. FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 S 2ND STREET, LA CONNER, WA 98257-0917
(360) 466-3196
Mailing address
PO BOX 917, 102 S. 2ND STREET, LA CONNER, WA 98257-0917
(360) 466-3196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005791
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5061601
DSHS
WA
Enumeration date
03/29/2007
Last updated
07/08/2007
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