David James Fulton, DDS Valid NPI
Individual provider · General Practice Dentistry · Waukegan, IL
- NPI
- 1518030519
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 019020827 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-16
- Last updated
- 2012-04-24
Practice location
1308 Sunset Ave
Waukegan, IL 60087-4836
(847) 249-2621