Individual
DR. IAN FUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
140 E MAIN STREET, OTHELLO, WA 99344
(509) 488-5256
(509) 488-9939
Mailing address
140 E MAIN STREET, OTHELLO, WA 99344
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009463
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164415
WA ST DL&I #
WA
05
—
5040654
—
WA
Enumeration date
11/03/2006
Last updated
07/09/2007
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