Individual
DR. CHAD COLEMAN FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4055 SERAPH DR, SUITE 4, CONWAY, AR 72034-3361
(501) 329-7668
(501) 329-2077
Mailing address
4055 SERAPH DR, SUITE 4, CONWAY, AR 72034-3361
(501) 329-7668
(501) 329-2077
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3334
AR
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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