Individual
DR. AMY JO FULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
811 BASELINE, MARSHALL, MN 56258-2380
(507) 401-4811
(507) 401-4810
Mailing address
811 BASELINE RD, MARSHALL, MN 56258
(507) 401-4811
(507) 401-4810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14188
MN
Other
Enumeration date
05/14/2019
Last updated
03/25/2024
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