Michael T. Fulbright DDS a Professional Corporation
NPI #1669869087 in Redondo Beach, California
Provider Information
- NPI Number
- 1669869087
- Entity Type
- Organization
- Organization Name
- Michael T. Fulbright DDS a Professional Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 23, 2015
- Last Updated
- Oct 14, 2015
Practice Location
- Address
- 1815 VIA EL PRADO
- Address 2
- #200
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-5722
- Phone
- (310) 316-4477
Authorized Official
- Name
- MR. MICHAEL FULBRIGHT, DDS
- Title
- PRESIDENT/OWNER
- Phone
- (310) 316-4477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Dentist |
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