DR. David Allen Fuller, D.M.D.

NPI #1275590101 in Bend, Oregon

Provider Information

NPI Number: 1275590101
Entity Type: Individual
Name: DR. David Allen Fuller, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Apr 26, 2006
Last Updated: Feb 27, 2014

Practice Location

Address: 2250 NE PROFESSIONAL CT.
City: Bend
State: Oregon
ZIP Code: 97701-6063
Phone: (541) 388-1434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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