IAN FULLINFAW, DDS
Dentist - General Practice
Active
Individual
NPI: 1861187205
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | 13750 (CT) |
| Dentist - General Practice | 1223G0001X | No | 7932 (NE) |
Frequently Asked Questions
NPI 1861187205 is the National Provider Identifier for IAN FULLINFAW, DDS, a Dentist - General Practice provider located in Council Bluffs, IA. This NPI was enumerated on April 11, 2023.
IAN FULLINFAW, DDS practices at 1026 WOODBURY AVE, Council Bluffs, IA 51503.
Quick Facts
- NPI
- 1861187205
- Type
- Individual
- Enumerated
- Apr 11, 2023
- Last Updated
- Oct 16, 2024
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