DR. BRADLEY FULLER, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1073730784
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D7229 (OR) |
Frequently Asked Questions
NPI 1073730784 is the National Provider Identifier for DR. BRADLEY FULLER, D.D.S., a Dentist - General Practice provider located in Gresham, OR. This NPI was enumerated on April 20, 2007.
DR. BRADLEY FULLER, D.D.S. practices at 2458 SE BURNSIDE RD, Gresham, OR 97080.
Quick Facts
- NPI
- 1073730784
- Type
- Individual
- Enumerated
- Apr 20, 2007
- Last Updated
- Jul 8, 2007
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