DR. Bradley Fuller, D.D.S.

NPI #1073730784 in Gresham, Oregon

Provider Information

NPI Number
1073730784
Entity Type
Individual
Name
DR. Bradley Fuller, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Apr 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2458 SE BURNSIDE RD
State
Oregon
ZIP Code
97080-1247
Phone
(503) 666-8045

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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