ELLIS LAMAR FULLER

LAKE MARY, FL
NPI1366466286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN15405)
Enumeration Date2006-07-26
Last Update Date2012-06-26
Business Address
DR. ELLIS LAMAR FULLER D.D.S
114 TIMBERLACHEN CIR
LAKE MARY, FL 32746-3395
Phone number: 407-330-3801
Mailing Address
DR. ELLIS LAMAR FULLER D.D.S
1287 BLESSING ST
MAITLAND, FL 32751-4260
Phone number: 407-838-0101
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