Individual
DR. LEE ALBERT FULSAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
108 S RANCH HOUSE RD, SUITE 1200, ALEDO, TX 76008-2691
(817) 441-2308
(817) 441-2298
Mailing address
108 S RANCH HOUSE RD, SUITE 1200, ALEDO, TX 76008-2691
(817) 441-2308
(817) 441-2298
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
0401411765
VA
1223E0200X
Endodontics
Primary
25717
TX
1223E0200X
Endodontics
DN-15018
FL
Other
Enumeration date
03/20/2006
Last updated
01/06/2012
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