DR. Robert E Fuller, DDS

NPI #1730160649 in Nellis Afb, Nevada

Provider Information

NPI Number: 1730160649
Entity Type: Individual
Name: DR. Robert E Fuller, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 8, 2005
Last Updated: Jun 11, 2018

Practice Location

Address: 4700 LAS VEGAS BLVD N
City: Nellis Afb
State: Nevada
ZIP Code: 89191
Phone: (702) 653-2682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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