| Fuller Family Dental, Plc | |
|
2244 Loomis Ave Corning IA 50841 | |
| (641) 322-3737 | |
| (641) 322-3377 |
| Full Name | Fuller Family Dental, Plc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477751576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 08458 (Iowa) | Primary |