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NPI Code Detail

MEDICARE: ORLANDO JOSEPH FUGARO DDS,MSD

MEDICARE: ORLANDO JOSEPH FUGARO DDS,MSD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry10104WA

General Provider Information

NPI Number : 1730100934
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORLANDO JOSEPH FUGARO DDS,MSD
Provider Business Mailing Address
First Line : PO BOX 10417
Second Line :
City : BAINBRIDGE ISLAND
State : WA
Zip : 98110-0417
Country : US
Telephone Number : 206-842-2646
Fax Number : 206-842-6475
Provider Business Practice Location Address
First Line : 710 ERICKSEN AVE NE
Second Line : SUITE 200
City : BAINBRIDGE ISLAND
State : WA
Zip : 98110-2835
Country : US
Telephone Number : 206-842-2646
Fax Number : 206-842-6475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 03/07/2023

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