IAN FULLER

BERKELEY, CA
NPI1457078677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  DDS108278)
Enumeration Date2022-10-27
Last Update Date2023-11-22
Business Address
Dr. IAN FULLER
1504 ALCATRAZ AVE
BERKELEY, CA 94703-2610
Phone number: 510-653-6424
Mailing Address
Dr. IAN FULLER
1403 ALLSTON WAY
BERKELEY, CA 94702-1922
Phone number:
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