DR. Benjamin Luke Fuller, D.D.S.
NPI #1689802910 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1689802910
- Entity Type
- Individual
- Name
- DR. Benjamin Luke Fuller, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- D.D.S.
- Enumeration Date
- Jun 25, 2009
- Last Updated
- Jul 2, 2013
Practice Location
- Address
- 835 3RD AVE SW
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52404-1810
- Phone
- (319) 366-8377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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