Individual provider · Type 1 NPI
Leslie Fullerton, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Conroe, TX
Practice location
2255 N Loop 336 W Ste D
Conroe, TX 77304-3632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 19458 (TX) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1437311909
Leslie Fullerton, DDS's National Provider Identifier is 1437311909, issued on Jun 26, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Conroe, TX. The record was last updated on Jun 26, 2008.