Individual
DR. MATTHEW SCOTT FULLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2201 SW WESTPORT DR, #400, TOPEKA, KS 66614-1914
(785) 228-1280
Mailing address
2201 SW WESTPORT DR, #400, TOPEKA, KS 66614-1914
(785) 228-1280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60717
KS
Other
Enumeration date
06/11/2009
Last updated
08/31/2011
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