Larry Fuller, DDS Valid NPI
Individual provider · Dentist · Drumright, OK
- NPI
- 1730872011
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 7702 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-06-01
- Last updated
- 2023-06-01
Practice location
1226 W Broadway St
Drumright, OK 74030-5826
(918) 352-3312