SearchMinnesota122300000X

Brian Fuller, D.D.S

NPI 1760674725 · on the registry since 2007 · sole proprietor

Practice

Address
1920 S 1st St
1509
Minneapolis, MN 55454
Phone
(612) 270-0885

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
MN, MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-14

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 Minnesota