DR. Jennifer L Full, DDS
NPI #1609355148 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1609355148
- Entity Type
- Individual
- Name
- DR. Jennifer L Full, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 7, 2018
- Last Updated
- Mar 18, 2021
Practice Location
- Address
- BOAK DENTAL CLINIC
- Address 2
- 12720 KANSAS AVE BLDG 789
- State
- Missouri
- ZIP Code
- 65473-6547
- Phone
- (706) 718-4719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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