Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Walter Fombin Foto, BDSDMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1215038716

Dr. Walter Fombin Foto, BDSDMD is an Oral and Maxillofacial Surgery (Dentist) in Puyallup, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

4202 10th St SE # 101
Puyallup, WA 98374-2191
Phone: (253) 272-7574
Fax: (253) 272-9044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 814 6th Ave, Tacoma, WA 98405-4501 — (253) 272-7574

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 8264 (WA)

Record details

NPI number1215038716
Entity typeIndividual (Type 1)
GenderMale
Credentials BDSDMD
Sole proprietorYes
NPI enumeratedSeptember 26, 2006
Last updated in NPPESMarch 17, 2018

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