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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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