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Organization
MEGAN FULMER IDE DDS AND SHIRLEY T LEI DDS
Active
Organization
MEGAN FULMER IDE DDS AND SHIRLEY T LEI DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN IDE (DENTIST)
(559) 625-2744
Entity
Organization
Contact information
Practice address
1045 N DEMAREE ST, VISALIA, CA 93291-4119
(559) 625-2744
Mailing address
1045 N DEMAREE ST, VISALIA, CA 93291-4119
(559) 625-2744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44678
CA
1223G0001X
General Practice Dentistry
54890
CA
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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