Individual
MEGAN MISNER FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1310 W WALNUT ST STE C, ROGERS, AR 72756-3300
(479) 636-6807
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4362
AR
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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