Brent Alan Fulks, D.D.S
NPI #1518222314 in Iron Mountain, Michigan
Provider Information
- NPI Number
- 1518222314
- Entity Type
- Individual
- Name
- Brent Alan Fulks, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- Jul 8, 2012
- Last Updated
- Jul 8, 2012
Practice Location
- Address
- W9430 H LUCAS DR
- City
- Iron Mountain
- State
- Michigan
- ZIP Code
- 49801-9409
- Phone
- (517) 896-8130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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