Cecil William Fuller SR. DMD

NPI 1144499302 - Dentist - 1223G0001X

NPI Details
NPI 1144499302
Gender Male
Enumeration Date 02/21/2008
Last Updated 02/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
203 DALLAS AVE
SELMA AL, 36701, US
Phone (334) 874-4615
Fax (334) 874-4987
Business Location
203 DALLAS AVE
SELMA AL, 36701, US
Phone (334) 874-4615
Fax (334) 874-4987
Toxanomy
Taxonomy Code 1223G0001X
License State Alabama
License Number 3164
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According to our database, Cecil William Fuller SR. DMD NPI is 1144499302, taxonomy code is 1223G0001X and license number is 3164, license state is located at Alabama. Cecil William Fuller SR. DMD physically located at 203 Dallas Ave, Selma AL, 36701. NPI Number Cecil William Fuller SR. DMD has the Individual type.

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1144499302 NPI number is provided on an as is basis without warranty of any kind. 1144499302 is maintained by the National Plan & Provider Enumeration System. The contents of Cecil William Fuller SR. DMD are for informational purposes only.