DOMENICK FULLER

POCATELLO, ID
NPI1649063850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  9271560)
Enumeration Date2025-05-28
Last Update Date2025-06-04
Business Address
Dr. DOMENICK FULLER DDS
921 S 8TH AVE
POCATELLO, ID 83209-0002
Phone number: 208-282-3289
Mailing Address
Dr. DOMENICK FULLER DDS
397 E SHEPARD LN
KAYSVILLE, UT 84037-9637
Phone number: 801-499-0507
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