Organization
FULLER AND LEMLEY DENTAL CORP
Active
Other names
Pediatric Dentistry of Redlands
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON EDWARD FULLER DDS, MS (OWNER)
(909) 793-4326
Entity
Organization
Contact information
Practice address
1481 FORD ST, SUITE 101, REDLANDS, CA 92373-3916
(909) 793-4326
(909) 793-4339
Mailing address
1481 FORD ST, SUITE 101, REDLANDS, CA 92373-3916
(909) 793-4326
(909) 793-4339
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
55344
CA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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