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Individual
JOSHUA FULTON
Active
Individual
JOSHUA FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9374
SC
1223G0001X
General Practice Dentistry
D1154
SD
1223G0001X
General Practice Dentistry
DDS-09435
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9374
SOUTH CAROLINA DENTAL LICENSE
SC
01
—
D1154
SOUTH DAKOTA DENTAL LICENSE
SD
01
—
DDS-09435
IOWA DENTAL LICENSE
IA
Enumeration date
06/15/2017
Last updated
07/21/2020
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