DR. Jon Gordon Fuller JR., D.D.S.

NPI #1376566976 in Moab, Utah

Provider Information

NPI Number
1376566976
Entity Type
Individual
Name
DR. Jon Gordon Fuller JR., D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
570 W 400 N
City
Moab
State
Utah
ZIP Code
84532-2236
Phone
(435) 259-4333

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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