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1255344149
RALPH S. FULLER
AUSTIN, TX
NPI
1255344149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 10590)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Dr. RALPH S. FULLER DDS
1605 WEST AVE STE A
AUSTIN, TX 78701-1555
Phone number: 512-478-0622
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Mailing Address
Dr. RALPH S. FULLER DDS
PO BOX 5117
AUSTIN, TX 78763-5117
Phone number: 512-478-0622
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