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Organization
C E FULTZ DDS PA
Active
Organization
C E FULTZ DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C E FULTZ DDS PA (MANAGER)
(828) 627-9282
Entity
Organization
Contact information
Practice address
78 NELSON ST, CLYDE, NC 28721-1096
(828) 627-9282
Mailing address
PO BOX 1096, CLYDE, NC 28721-1096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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