DR. Nicole Berger Fulp, DMD

NPI #1043521818 in Tifton, Georgia

Provider Information

NPI Number
1043521818
Entity Type
Individual
Name
DR. Nicole Berger Fulp, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 28, 2010
Last Updated
Jun 28, 2010

Practice Location

Address
215 MAGNOLIA DR N
City
Tifton
State
Georgia
ZIP Code
31794-4217
Phone
(229) 382-7996

Specialties & Taxonomy Codes

Specialty
Dentist

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