DR. Richard Bruce Fuller, D.D.S.

NPI #1801864087 in Eagan, Minnesota

Provider Information

NPI Number: 1801864087
Entity Type: Individual
Name: DR. Richard Bruce Fuller, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3324 PROMENADE AVE
Address 2: SUITE 101
City: Eagan
State: Minnesota
ZIP Code: 55121-2259
Phone: (651) 452-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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