Organization
DT FULMER DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUWARD T FULMER DMD (PRESIDENT)
(864) 297-1367
Entity
Organization
Contact information
Practice address
105 EAST BUTLER ROAD, SUITE D, MAULDIN, SC 29662-2103
(864) 297-1367
(864) 676-1992
Mailing address
105 EAST BUTLER ROAD, SUITE D, MAULDIN, SC 29662-2103
(864) 297-1367
(864) 676-1992
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2457
SC
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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