Individual
DR. SHAWN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
193 BOSTON TPKE STE 6140, SHREWSBURY, MA 01545
(508) 669-7140
(508) 669-7140
Mailing address
193 BOSTON TPKE STE 6140, SHREWSBURY, MA 01545-2552
(508) 669-7140
(508) 669-7140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7840
AZ
122300000X
Dentist
Primary
DN1857804
MA
Other
Enumeration date
02/04/2010
Last updated
11/13/2019
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