Travis Christoph Fagala, DENTURIST
Travis Christoph Fagala, DENTURIST is a Denturist in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2011.
- Licensed in
- WA
- In the registry since
- 2011
Practice location Address checks out
217 S 2nd AveWalla Walla, WA 99362-3002
Phone: (509) 525-7250
Fax: (509) 526-5295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Denturist (primary) | Taxonomy 122400000X · Licence DN 60208462 (WA) |
|---|
Record details
| NPI number | 1881961779 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DENTURIST |
| Sole proprietor | No |
| NPI enumerated | November 21, 2011 |
| Last updated in NPPES | November 21, 2011 |