BRIAN SCOTT FULLER

MINNEAPOLIS, MN
NPI1760674725
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MN  D12089)
Additional Taxonomies122300000X Dentist
(Licence: MT  2199)
Enumeration Date2007-08-14
Last Update Date2007-08-14
Business Address
Dr. BRIAN SCOTT FULLER D.D.S.
1920 S 1ST ST 1509
MINNEAPOLIS, MN 55454-1055
Phone number: 612-270-0885
Mailing Address
Dr. BRIAN SCOTT FULLER D.D.S.
1920 S 1ST ST 1509
MINNEAPOLIS, MN 55454-1055
Phone number: 612-270-0885
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