BRAD LYLE FULKERSON

AMESBURY, MA
NPI1700094158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  DN21905)
Additional Taxonomies122300000X Dentist
(Licence: MA  21905)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-05-18
Last Update Date2018-06-08
Business Address
Dr. BRAD LYLE FULKERSON D.M.D.
41 SPARHAWK ST
AMESBURY, MA 01913
Phone number: 978-388-3505
Mailing Address
Dr. BRAD LYLE FULKERSON D.M.D.
25 WASHINGTON RD
RYE, NH 03870-2439
Phone number: 617-571-6951