Individual
ALEXANDRA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7505 GRAND LELY DR, NAPLES, FL 34113-1753
(239) 920-4523
Mailing address
1600 SW ARCHER RD # D11-6, GAINESVILLE, FL 32610-0426
(814) 460-2602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN26999
FL
1223P0221X
Pediatric Dentistry
Primary
DN26999
FL
Other
Enumeration date
06/10/2022
Last updated
06/15/2022
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