| Fernwood Family Dental | |
|
19500 10th Ave Ne Ste 210 Poulsbo WA 98370-6553 | |
| (360) 394-4337 | |
| Not Available |
| Full Name | Fernwood Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19500 10th Ave Ne Ste 210, Poulsbo, Washington |
| Authorized Official Name and Position | William Fugere (OWNER/DENTIST) |
| Authorized Official Contact | 8018858997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernwood Family Dental 2320 Dalarna Ct Ne Poulsbo WA 98370-7590 Ph: (801) 885-8997 | Fernwood Family Dental 19500 10th Ave Ne Ste 210 Poulsbo WA 98370-6553 Ph: (360) 394-4337 |
| NPI Number | 1205348026 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205348026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE-60625016 (Washington) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
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