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Organization

C E FULTZ DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. C E FULTZ DDS PA (MANAGER)
(828) 627-9282
Entity
Organization

Contact information

Practice address
78 NELSON ST, CLYDE, NC 28721-1096
(828) 627-9282
Mailing address
PO BOX 1096, CLYDE, NC 28721-1096

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/17/2007
Last updated
08/22/2020
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