Individual
THOMAS E FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 E. DAYTON-YELLOW SPRINGS ROAD, FAIRBORN, OH 45324
(937) 879-1321
Mailing address
2775 CHATHAM CT, BEAVERCREEK, OH 45431
(937) 531-0403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13476
OH
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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