Organization
UNIVERSITY POINTE ENDODONTICS MICHAEL FULLER D.D.S. M.S. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D. FULLER DDS (PRESIDENT)
(330) 807-4128
Entity
Organization
Contact information
Practice address
7760 W VOICE OF AMERICA PARK DR STE A, WEST CHESTER, OH 45069-3371
(513) 759-2700
Mailing address
7760 W VOICE OF AMERICA PARK DR STE A, WEST CHESTER, OH 45069-3371
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30-023412
OH
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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