Individual
AMY M FULPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
235 W CATALINA DR, SAFFORD, AZ 85546-2537
(480) 848-9643
Mailing address
235 W CATALINA DR, SAFFORD, AZ 85546-2537
(480) 848-9643
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5987
AZ
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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