Caleb Jonathon Fuller, DDS

NPI #1164078960 in Canton, Michigan

Provider Information

NPI Number
1164078960
Entity Type
Individual
Name
Caleb Jonathon Fuller, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 16, 2019
Last Updated
Aug 16, 2019

Practice Location

Address
46592 W OAK MANOR CT
City
Canton
ZIP Code
48187-5230
Phone
(734) 233-4446

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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