| Fulton Family Dental, Ltd. | |
|
1308 Sunset Ave. Waukegan IL 60087 | |
| (847) 249-2621 | |
| (847) 249-9043 |
| Full Name | Fulton Family Dental, Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 1308 Sunset Ave., Waukegan, Illinois |
| Authorized Official Name and Position | David James Fulton (PRESIDENT) |
| Authorized Official Contact | 8472492621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Family Dental, Ltd. 1308 Sunset Ave. Waukegan IL 60087 Ph: (847) 249-2621 | Fulton Family Dental, Ltd. 1308 Sunset Ave. Waukegan IL 60087 Ph: (847) 249-2621 |
| NPI Number | 1578912713 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578912713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 060.002213 (Illinois) | Primary |
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