Individual
DR. STEVEN CRAIG FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2822 E 29TH ST, DES MOINES, IA 50317-8720
(515) 266-3437
(515) 266-4313
Mailing address
2822 E 29TH ST, DES MOINES, IA 50317-8720
(515) 266-3437
(515) 266-4313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07485
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168088
—
IA
Enumeration date
01/30/2007
Last updated
07/08/2007
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