DR. Larry Fuller III, DDS

NPI #1730872011 in Drumright, Oklahoma

Provider Information

NPI Number: 1730872011
Entity Type: Individual
Name: DR. Larry Fuller III, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 1, 2023
Last Updated: Jun 1, 2023

Practice Location

Address: 1226 W BROADWAY ST
City: Drumright
State: Oklahoma
ZIP Code: 74030-5826
Phone: (918) 352-3312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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