Individual
DR. JOESPH WARREN FULLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1204 N CENTER ST, PERRY, FL 32347-2038
(850) 584-4613
(850) 584-9009
Mailing address
1204 NORTH CENTER STREET, PERRY, FL 32347
(850) 584-4613
(850) 584-9009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN08166
FL
Other
Enumeration date
10/24/2006
Last updated
09/17/2008
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