DR. MARK FULLMER, DDS

Dentist

Active Individual
NPI: 1568684470

Practice Address

225 EAST 400 SOUTH
Springville, UT 84663

Phone: (801) 489-3611

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 143367-9921 (UT)

Frequently Asked Questions

NPI 1568684470 is the National Provider Identifier for DR. MARK FULLMER, DDS, a Dentist provider located in Springville, UT. This NPI was enumerated on May 2, 2007.
DR. MARK FULLMER, DDS practices at 225 EAST 400 SOUTH, Springville, UT 84663.

Quick Facts

NPI
1568684470
Type
Individual
Enumerated
May 2, 2007
Last Updated
Jul 8, 2007

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