Individual
DR. ADELLE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5198 N NEVADA AVE STE 100, COLORADO SPRINGS, CO 80918-8649
(719) 634-8884
Mailing address
5198 N NEVADA AVE STE 100, COLORADO SPRINGS, CO 80918-8649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205678
CO
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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