DR. Michael Fuller, D.D.S.

NPI #1972519049 in Woodbury, Minnesota

Provider Information

NPI Number
1972519049
Entity Type
Individual
Name
DR. Michael Fuller, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
7650 CURRELL BLVD STE 200
ZIP Code
55125-8209
Phone
(651) 730-9266

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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