Fuller Family Dental, Plc

NPI #1477751576 in Corning, Iowa

Provider Information

NPI Number: 1477751576
Entity Type: Organization
Organization Name: Fuller Family Dental, Plc
Primary Specialty: Dentist
Enumeration Date: Jul 10, 2007
Last Updated: Jul 10, 2007

Practice Location

Address: 2244 LOOMIS AVE
City: Corning
State: Iowa
ZIP Code: 50841
Phone: (641) 322-3737

Authorized Official

Name: DR. MARIA REYNA FULLER, DDS
Title: DENTIST
Phone: (641) 322-3737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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