Ian Fuller, DDS
NPI #1457078677 in Alameda, California
Provider Information
- NPI Number
- 1457078677
- Entity Type
- Individual
- Name
- Ian Fuller, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 27, 2022
- Last Updated
- Jan 8, 2025
Practice Location
- Address
- 2241 CENTRAL AVE STE B
- City
- Alameda
- State
- California
- ZIP Code
- 94501-4430
- Phone
- (510) 865-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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