person
Travis Christoph Fagala, DENTURIST
Denturist in Walla Walla, Washington
NPI 1881961779

Travis Christoph Fagala is a Denturist based in Walla Walla, WA. Travis Christoph Fagala practices in Walla Walla, WA and has the professional credentials of DENTURIST. The NPI Number for Travis Christoph Fagala is 1881961779 and holds a License No. DN 60208462 (Washington).

The current practice location address for Travis Christoph Fagala is 217 S 2Nd Ave, Walla Walla, WA and can be reached out via phone at 509-525-7250 and via fax at 509-526-5295.

Location: 217 S 2Nd Ave, Walla Walla, WA, 99362-3002
person
Provider Profile Details
NPI Number
1881961779
Provider Name
Travis Christoph Fagala
Credential
DENTURIST
Provider Entity Type
Individual
Gender
Male
Address
217 S 2Nd Ave, Walla Walla, WA, 99362-3002
Phone Number
509-525-7250
Fax Number
509-526-5295
Provider Enumeration Date
11/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
217 S 2Nd Ave
City
State
Zip
99362-3002
Phone Number
509-525-7250
Fax Number
509-526-5295
person
Provider Business Mailing Address Details
Address
217 S 2Nd Ave
City
State
Zip
99362-3002
Phone Number
509-525-7250
Fax Number
509-526-5295
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DN 60208462 (Washington)
Definition
Definition to come.
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