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Individual
DR. JOHN FULL
Active
Individual
DR. JOHN FULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11562
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/18/2016
Last updated
03/06/2022
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