DR. Ronnie Lee Fullwood, DDS

NPI #1568575249 in Selmer, Tennessee

Provider Information

NPI Number
1568575249
Entity Type
Individual
Name
DR. Ronnie Lee Fullwood, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
177 COURT AVE
City
Selmer
ZIP Code
38375
Phone
(731) 645-7785

Specialties & Taxonomy Codes

Specialty
Dentist

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