Organization · Type 2 NPI

Fuller Avenue Dental Associates

General Practice Dentistry · Grand Rapids, MI

NPI number 1639397615 Active

About NPI 1639397615

Fuller Avenue Dental Associates's National Provider Identifier is 1639397615, issued on Apr 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 22, 2020.