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1386972974
ROBERT L FULLER
OREM, UT
NPI
1386972974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 136880-9922)
Enumeration Date
2009-11-20
Last Update Date
2009-11-20
Business Address
Dr. ROBERT L FULLER D.D.S.
761 S 1030 E
OREM, UT 84097-6688
Phone number: 801-223-9887
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Mailing Address
Dr. ROBERT L FULLER D.D.S.
761 S 1030 E
OREM, UT 84097-6688
Phone number: 801-223-9887
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