Jan P Fugal, DDS
NPI #1205042736 in Ballston Spa, New York
Provider Information
- NPI Number
- 1205042736
- Entity Type
- Individual
- Name
- Jan P Fugal, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 14, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 348 MILTON AVE
- City
- Ballston Spa
- State
- New York
- ZIP Code
- 12020-1415
- Phone
- (518) 885-7551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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