Individual
DR. DAVID JAMES FULTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1308 SUNSET AVE, WAUKEGAN, IL 60087-4836
(847) 249-2621
(847) 249-9049
Mailing address
1308 SUNSET AVE, WAUKEGAN, IL 60087-4836
(847) 249-2621
(847) 249-9049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020827
IL
Other
Enumeration date
11/16/2006
Last updated
04/24/2012
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