Organization
FULTON FAMILY DENTAL, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES FULTON JR. D.D.S. (PRESIDENT)
(847) 249-2621
Entity
Organization
Contact information
Practice address
1308 SUNSET AVE., WAUKEGAN, IL 60087
(847) 249-2621
(847) 249-9043
Mailing address
1308 SUNSET AVE., WAUKEGAN, IL 60087
(847) 249-2621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060.002213
IL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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