Individual
DR. GREGORY PAUL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
128 MEDWAY RD STE 2&3, MILFORD, MA 01757-2915
(781) 325-1091
Mailing address
9885 E CINNABAR AVE, SCOTTSDALE, AZ 85258-4737
(520) 907-0719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D2547
AZ
122300000X
Dentist
Primary
DN1859342
MA
1223G0001X
General Practice Dentistry
D2547
AZ
Other
Enumeration date
12/05/2006
Last updated
05/05/2022
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