DR. Ronald Ray Fulkerson, D.D.S.

NPI #1134245053 in Bloomington, Indiana

Provider Information

NPI Number
1134245053
Entity Type
Individual
Name
DR. Ronald Ray Fulkerson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3929 E 3RD ST
Address 2
SUITE 4
State
Indiana
ZIP Code
47401-5554
Phone
(812) 336-3057

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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