Individual provider · Type 1 NPI

Walter Fombin Foto, BDS DMD

Oral and Maxillofacial Surgery (Dentist) · Puyallup, WA

NPI number 1215038716 Active

Practice location

4202 10th St SE # 101
Puyallup, WA 98374-2191

Fax (253) 272-9044

Mailing address

4202 10th St SE Ste 311
Puyallup, WA 98374-2191

Other practice locations

  • 814 6th Ave, Tacoma, WA 98405-4501 · (253) 272-7574

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X8264 (WA)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1215038716

Walter Fombin Foto, BDS DMD's National Provider Identifier is 1215038716, issued on Sep 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Puyallup, WA. The record was last updated on Mar 17, 2018.