C FREDRICK FULLER

DES MOINES, IA
NPI1902938699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IA  5913)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
Dr. C FREDRICK FULLER
3223 E 29TH ST
DES MOINES, IA 50317
Phone number: 515-266-2128
Mailing Address
Dr. C FREDRICK FULLER
3223 E 29TH ST
DES MOINES, IA 50317
Phone number: 515-266-2128
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