Individual
DAVID S FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
3623 RESERVE COMMONS DR, MEDINA, OH 44256
(330) 725-6146
(330) 723-5138
Mailing address
3623 RESERVE COMMONS DR, MEDINA, OH 44256
(330) 725-6146
(330) 723-5138
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
013475
OH
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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