Individual
DR. NORMAN DARTT FULLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1701 LUNDY AVE STE 150, SAN JOSE, CA 95131-1858
(408) 437-8999
(408) 437-8898
Mailing address
1701 LUNDY AVE STE 150, SAN JOSE, CA 95131-1858
(408) 437-8999
(408) 437-8898
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
38285
CA
Other
Enumeration date
04/24/2007
Last updated
06/13/2015
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