DR. Wally Alessandro Garcia Fulle, DDS

NPI #1154817880 in Bradenton, Florida

Provider Information

NPI Number: 1154817880
Entity Type: Individual
Name: DR. Wally Alessandro Garcia Fulle, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 5, 2018
Last Updated: Aug 31, 2021

Practice Location

Address: 1312 MANATEE AVE E
City: Bradenton
State: Florida
ZIP Code: 34208-1358
Phone: (941) 708-8710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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