Fuller, Imani Joy
Fuller, Imani Joy is an individual health care provider with primary practice located at 1107 Sligo Creek Pkwy , Takoma Park MD 20912-5806. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Fuller, Imani Joy can be contacted via phone (301) 891-7760.Contact Information
Primary practice address
1107 Sligo Creek Pkwy
Takoma Park MD 20912-5806
Phone: (301) 891-7760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 17689 | Maryland |
Profile Details
| NPI number | 1801567144 |
|---|---|
| LBN Legal business name | Fuller, Imani Joy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2021 |
| Last updated | Feb 20th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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