Fuller Family Dental, Plc | |
2244 Loomis Ave Corning IA 50841 | |
(641) 322-3737 | |
(641) 322-3377 |
Full Name | Fuller Family Dental, Plc |
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Speciality | Dentist |
Location | 2244 Loomis Ave, Corning, Iowa |
Authorized Official Name and Position | Maria Reyna Fuller (DENTIST) |
Authorized Official Contact | 6413223737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fuller Family Dental, Plc 2244 Loomis Ave Corning IA 50841 Ph: (641) 322-3737 | Fuller Family Dental, Plc 2244 Loomis Ave Corning IA 50841 Ph: (641) 322-3737 |
NPI Number | 1477751576 |
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Provider Enumeration Date | 07/10/2007 |
Last Update Date | 07/10/2007 |
Identifier | Type | State | Issuer |
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1477751576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 08458 (Iowa) | Primary |