Individual
MR. ROBERT DODD FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
706 S KING ST, SUITE 5, LEESBURG, VA 20175-3918
(703) 771-8500
(703) 771-9541
Mailing address
706 S KING ST, SUITE 5, LEESBURG, VA 20175-3918
(703) 771-8500
(703) 771-9541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401-006762
VA
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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