Organization
FULLENKAMP FAMILY DENTISTRY
Active
Other names
Fullenkamp Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LERYN BOURQUIN (MANAGER)
(937) 746-3907
Entity
Organization
Contact information
Practice address
1051 COMMERCE CENTER DR, FRANKLIN, OH 45005-7209
(937) 746-3901
(937) 746-4183
Mailing address
1051 COMMERCE CENTER DR, FRANKLIN, OH 45005-7209
(937) 746-3901
(937) 746-4183
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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