Individual
DR. DAVID ALLEN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2250 NE PROFESSIONAL CT., BEND, OR 97701-6063
(541) 388-1434
(541) 388-1293
Mailing address
2250 NE PROFESSIONAL CT., BEND, OR 97701-6063
(541) 388-1434
(541) 388-1293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5954
OR
Other
Enumeration date
04/26/2006
Last updated
02/27/2014
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