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DR. ALMA R. FULTON DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1770613481

Individual Registrant:
DR. ALMA R. FULTON DMD
Gender: F
Sole Proprietor

Location and contact information for practice:
4211 BAYLESS AVE STE B  AFFTON, MO 63123-7513 US
Tel: 314-544-3434  Fax: 314-544-3336

Contact information for business:
4211 BAYLESS AVE STE B  AFFTON, MO 63123-7513 US
Tel: 314-544-3434  Fax: 314-544-3336

Registration Information:
NPI: 1770613481
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MODE15381

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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