Organization
ANNA T. FULLER, DMD, LLC
Active
Other names
Friendly Dental of Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA T FULLER DMD (MEMBER)
(803) 528-8351
Entity
Organization
Contact information
Practice address
145 PELHAM DR, COLUMBIA, SC 29209-1321
(803) 602-3862
Mailing address
145 PELHAM DR, COLUMBIA, SC 29209-1321
(803) 602-3862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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