Travis Christoph Fagala, DENTURIST

NPI #1881961779 in Walla Walla, Washington

Provider Information

NPI Number: 1881961779
Entity Type: Individual
Name: Travis Christoph Fagala, DENTURIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Denturist
Credential: DENTURIST
Enumeration Date: Nov 21, 2011
Last Updated: Nov 21, 2011

Practice Location

Address: 217 S 2ND AVE
City: Walla Walla
State: Washington
ZIP Code: 99362-3002
Phone: (509) 525-7250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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