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Dr. Walter Fombin Foto, BDSDMD
Oral and Maxillofacial Surgery (Dentist) in Puyallup, Washington
NPI 1215038716

Walter Fombin Foto is a Oral and Maxillofacial Surgery (Dentist) based in Puyallup, WA and is specialized in Oral and Maxillofacial Surgery. Walter Fombin Foto practices in Puyallup, WA and has the professional credentials of BDSDMD. The NPI Number for Walter Fombin Foto is 1215038716 and holds a License No. 8264 (Washington).

The current practice location address for Walter Fombin Foto is 4202 10Th St Se # 101, Puyallup, WA and can be reached out via phone at 253-272-7574 and via fax at 253-272-9044.

Location: 4202 10Th St Se # 101, Puyallup, WA, 98374-2191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215038716
Provider Name
Walter Fombin Foto
Credential
BDSDMD
Provider Entity Type
Individual
Gender
Male
Address
4202 10Th St Se # 101, Puyallup, WA, 98374-2191
Phone Number
253-272-7574
Fax Number
253-272-9044
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4202 10Th St Se # 101
City
Puyallup
State
Washington
Zip
98374-2191
Phone Number
253-272-7574
Fax Number
253-272-9044
person
Provider Business Mailing Address Details
Address
4202 10Th St Se # 101
City
Puyallup
State
Washington
Zip
98374-2191
Phone Number
253-272-7574
Fax Number
253-272-9044
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
8264 (Washington)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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