Individual
DR. VALERIE CLAUDIA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011860
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388037957C
—
GA
Enumeration date
03/02/2010
Last updated
05/17/2019
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