Individual
DR. DANIEL W FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3323 UNICORN LAKE BLVD # 131, DENTON, TX 76210-0102
(940) 382-3834
(940) 380-1329
Mailing address
3323 UNICORN LAKE BLVD # 131, DENTON, TX 76210-0102
(940) 382-3834
(940) 380-1329
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20686
TX
Other
Enumeration date
10/04/2006
Last updated
01/07/2010
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