Individual
DR. BRET FULLENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2591 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45459-3711
(937) 434-3757
Mailing address
2591 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45459-3711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023440
OH
Other
Enumeration date
09/01/2011
Last updated
01/16/2013
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