Organization
FAMILY & RESTORATIVE DENTISTRY
Active
Other names
Fulmer Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C FULMER DDS (DENTIST)
(262) 945-2084
Entity
Organization
Contact information
Practice address
7137 236TH AVE STE 108, SALEM, WI 53168-8975
(262) 843-4643
Mailing address
7137 236TH AVE STE 108, SALEM, WI 53168-8975
(262) 843-4643
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3667
WI
Other
Enumeration date
06/27/2017
Last updated
03/17/2018
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