Individual
DR. ALAN K FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
405 NORTH BLVD, KINGSFORD, MI 49802-4413
(906) 774-8490
(906) 774-4990
Mailing address
405 NORTH BLVD, KINGSFORD, MI 49802-4413
(906) 774-8490
(906) 774-4990
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10791
MI
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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