Individual
DR. WALTER JAY FOSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1800 MCRAE BLVD, EL PASO, TX 79925-6706
(915) 592-4168
(915) 591-5014
Mailing address
1800 MCRAE BLVD, EL PASO, TX 79925-6706
(915) 592-4168
(915) 591-5014
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11313
TX
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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