Cecil William Fuller SR., DMD

NPI #1144499302 in Selma, Alabama

Provider Information

NPI Number
1144499302
Entity Type
Individual
Name
Cecil William Fuller SR., DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Feb 21, 2008
Last Updated
Feb 21, 2008

Practice Location

Address
203 DALLAS AVE
City
Selma
State
Alabama
ZIP Code
36701
Phone
(334) 874-4615

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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