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1972519049
MICHAEL FULLER
WOODBURY, MN
NPI
1972519049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D7673)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL FULLER D.D.S.
7650 CURRELL BLVD STE 200
WOODBURY, MN 55125-8209
Phone number: 651-730-9266
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Mailing Address
Dr. MICHAEL FULLER D.D.S.
7650 CURRELL BLVD STE 200
WOODBURY, MN 55125-8209
Phone number: 651-730-9266
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