Dylan W Fogel

NPI #1932745726 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1932745726
Entity Type: Individual
Name: Dylan W Fogel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Nov 27, 2019
Last Updated: Nov 27, 2019

Practice Location

Address: 1460 W SOUTH PARK AVE
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-6677
Phone: (920) 303-1803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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