DR. Jay Bradford Fogle, DDS

NPI #1962713057 in Bremerton, Washington

Provider Information

NPI Number
1962713057
Entity Type
Individual
Name
DR. Jay Bradford Fogle, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 23, 2010
Last Updated
Jun 23, 2010

Practice Location

Address
1275 NE FRANKLIN AVE
Address 2
SUITE A
ZIP Code
98311-3005
Phone
(360) 377-0803

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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