Individual
DR. REGINALD FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
511 EL CERRITO PLZ, EL CERRITO, CA 94530-4006
(510) 527-7111
(510) 527-7116
Mailing address
511 EL CERRITO PLZ, EL CERRITO, CA 94530-4006
(510) 527-7111
(510) 527-7116
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
49520
CA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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