Individual
DR. JANIS LEA FULLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1230 ALVERSER DR, SUITE 100, MIDLOTHIAN, VA 23113-2653
(804) 594-2570
(804) 594-2844
Mailing address
1230 ALVERSER DR, SUITE 100, MIDLOTHIAN, VA 23113-2653
(804) 594-2570
(804) 594-2844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006397
VA
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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