Individual
DR. JULIE S FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11208 94TH AVE E, PUYALLUP, WA 98373-3663
(253) 848-4597
Mailing address
6805 STEWART AVE E, PUYALLUP, WA 98371-5061
(253) 468-1942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60100274
WA
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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