Organization
JOSHUA FULTON DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA CLARENCE FULTON DDS (OWNER/DENTIST)
(803) 781-2439
Entity
Organization
Contact information
Practice address
7897 BROAD RIVER RD, IRMO, SC 29063-2357
(803) 781-2439
Mailing address
PO BOX 1077, IRMO, SC 29063-1077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
07/21/2020
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