Individual
MELANI FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1454 30TH ST STE 208B, WEST DES MOINES, IA 50266-1312
(515) 225-2577
Mailing address
12841 HAZELWOOD DR, CLIVE, IA 50325-7466
(515) 306-8631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09603
IA
Other
Enumeration date
09/04/2018
Last updated
11/15/2024
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