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Search › Missouri › General Practice Dentistry

Jennifer Full, DDS

NPI 1609355148 · on the registry since 2018

Practice

Address
Boak Dental Clinic
12720 Kansas Ave Bldg 789
Fort Leonard Wood, MO 65473
Phone
(706) 718-4719

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-18

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 Missouri