DR. RICHARD FULLER, D.D.S.

Dentist - General Practice

Active Individual
NPI: 1801864087

Practice Address

3324 PROMENADE AVE
SUITE 101
Eagan, MN 55121

Phone: (651) 452-5511

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes D8774 (MN)

Frequently Asked Questions

NPI 1801864087 is the National Provider Identifier for DR. RICHARD FULLER, D.D.S., a Dentist - General Practice provider located in Eagan, MN. This NPI was enumerated on March 14, 2006.
DR. RICHARD FULLER, D.D.S. practices at 3324 PROMENADE AVE, SUITE 101, Eagan, MN 55121.

Quick Facts

NPI
1801864087
Type
Individual
Enumerated
Mar 14, 2006
Last Updated
Jul 8, 2007

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