| Laura L. Fogle, D.d.s., M.s., P.c. | |
|
890 Three Mile Rd., Nw Grand Rapids MI 49544-8216 | |
| (616) 784-5993 | |
| (616) 784-5995 |
| Full Name | Laura L. Fogle, D.d.s., M.s., P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 890 Three Mile Rd., Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Laura L. Fogle (OWNER) |
| Authorized Official Contact | 6167845993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura L. Fogle, D.d.s., M.s., P.c. 890 Three Mile Rd., Nw Grand Rapids MI 49544-8216 Ph: (616) 784-5993 | Laura L. Fogle, D.d.s., M.s., P.c. 890 Three Mile Rd., Nw Grand Rapids MI 49544-8216 Ph: (616) 784-5993 |
| NPI Number | 1053523548 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053523548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2901016682 (Michigan) | Primary |
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