DR. Forrest Wane Fullenkamp, DDS

NPI #1730733007 in Decatur, Indiana

Provider Information

NPI Number
1730733007
Entity Type
Individual
Name
DR. Forrest Wane Fullenkamp, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 25, 2019
Last Updated
Apr 29, 2024

Practice Location

Address
1020 SOUTHAMPTON DR
State
Indiana
ZIP Code
46733-1049
Phone
(260) 724-8410

Specialties & Taxonomy Codes

Specialty
Dentist

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