Search › Michigan › 122300000X
Brent Fulks, D.D.S
NPI 1518222314 · on the registry since 2012 · sole proprietor
Practice
- Address
- W9430 H Lucas Dr
Iron Mountain, MI 49801 - Phone
- (517) 896-8130
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan