Individual
IMANI JOY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 SLIGO CREEK PKWY, TAKOMA PARK, MD 20912-5806
(301) 891-7760
Mailing address
19318 TATTERSHALL DR, GERMANTOWN, MD 20874-6245
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17689
MD
Other
Enumeration date
09/27/2021
Last updated
02/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us