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SHANE ALAN FULLER D.D.S.
D.D.S.
Dentist
NPI: 1326450867Individual
Specialties, Licenses & Credentials
DentistPrimary
Dentist
Code: 122300000X
63426(CA)
Contact & Hours
Via practice · 2 locations total
- Address
- 245 N 15th St, MS467
Philadelphia, PA 19102 - Phone
- (215) 762-5643
Quick Facts
- NPI
- 1326450867
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 2
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