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Dr. Ian Fuller
General Practice Dentistry in Berkeley, California
NPI 1457078677

Ian Fuller is a General Practice Dentistry based in Berkeley, CA and is specialized in General Practice. Ian Fuller practices in Berkeley, CA. The NPI Number for Ian Fuller is 1457078677 and holds a License No. DDS108278 (California).

The current practice location address for Ian Fuller is 1504 Alcatraz Ave, Berkeley, CA and can be reached out via phone at 510-653-6424.

Location: 1504 Alcatraz Ave, Berkeley, CA, 94702-1922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457078677
Provider Name
Ian Fuller
Credential
Provider Entity Type
Individual
Gender
Male
Address
1504 Alcatraz Ave, Berkeley, CA, 94702-1922
Phone Number
510-653-6424
Fax Number
Provider Enumeration Date
10/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1504 Alcatraz Ave
City
Berkeley
State
California
Zip
94703-2610
Phone Number
510-653-6424
Fax Number
person
Provider Business Mailing Address Details
Address
1504 Alcatraz Ave
City
Berkeley
State
California
Zip
94703-2610
Phone Number
510-653-6424
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DDS108278 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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