Individual
DR. MICHAEL DANIEL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7760 W VOICE OF AMERICA PARK DR STE A, WEST CHESTER, OH 45069-3371
(513) 759-2700
Mailing address
7760 W VOICE OF AMERICA PARK DR STE A, WEST CHESTER, OH 45069-3371
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30-023412
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2010
Last updated
03/17/2018
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