MARK CRANDALL FULLMER

SPRINGVILLE, UT
NPI1568684470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  143367-9921)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
Dr. MARK CRANDALL FULLMER DDS
225 EAST 400 SOUTH
SPRINGVILLE, UT 84663
Phone number: 801-489-3611
Mailing Address
Dr. MARK CRANDALL FULLMER DDS
225 EAST 400 SOUTH
SPRINGVILLE, UT 84663
Phone number: 801-489-3611
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