Organization
DR. JOSEPH W. FULLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WARREN FULLER III D.D.S. (DENTIST)
(850) 584-4613
Entity
Organization
Contact information
Practice address
1204 N CENTER ST, PERRY, FL 32347-2038
(850) 584-4613
(850) 584-9009
Mailing address
1204 N CENTER ST, PERRY, FL 32347-2038
(850) 584-4613
(850) 584-9009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008166
FL
Other
Enumeration date
02/19/2007
Last updated
09/06/2023
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