Laura L. Fogle, D.d.s., M.s., P.c.

NPI 1053523548 - Dentist - 1223X0400X

NPI Details
NPI 1053523548
Enumeration Date 05/04/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURA L. LAURA
Position OWNER
Phone (616) 784-5993
Fax (616) 784-5995
Practice Location
890 THREE MILE RD., NW
GRAND RAPIDS MI, 49544-8216, US
Phone (616) 784-5993
Fax (616) 784-5995
Business Location
890 THREE MILE RD., NW
GRAND RAPIDS MI, 49544-8216, US
Phone (616) 784-5993
Fax (616) 784-5995
Toxanomy
Taxonomy Code 1223X0400X
License State Michigan
License Number 2901016682
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According to our database, Laura L. Fogle, D.d.s., M.s., P.c. NPI is 1053523548, taxonomy code is 1223X0400X and license number is 2901016682, license state is located at Michigan. Laura L. Fogle, D.d.s., M.s., P.c. physically located at 890 Three Mile Rd., Nw, Grand Rapids MI, 49544-8216. NPI Number 1033115704 has the healthcare provider type.

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1053523548 NPI number is provided on an as is basis without warranty of any kind. 1053523548 is maintained by the National Plan & Provider Enumeration System. The contents of Laura L. Fogle, D.d.s., M.s., P.c. are for informational purposes only.