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Individual

DR. JANOS T. FULLOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
803 E 4TH ST, MOUNT VERNON, IN 47620-2012
(812) 838-4841
(812) 838-4844
Mailing address
803 E 4TH ST, P.O. BOX 673, MOUNT VERNON, IN 47620-2012
(812) 838-4841
(812) 838-4844

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010443A
IN

Other

Enumeration date
05/10/2006
Last updated
09/05/2007
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