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Individual

RYAN MICHAEL FULCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2515 HABERSHAM ST, SAVANNAH, GA 31401-9346
(912) 234-2206
(912) 238-1522
Mailing address
430 PEACHTREE DR, RINCON, GA 31326-4889
(706) 461-6781

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014084
GA

Other

Enumeration date
06/14/2010
Last updated
06/14/2010
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