Dr. Sean M Full, DDS
Dentist in Pico Rivera, CA. Individual provider (NPI-1).
NPI number1962058313
StatusActive
Last updated in NPPESAug 12, 2019
Details
- NPI
- 1962058313
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sean M Full
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2019
- Last updated
- Aug 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 104114 | CA | Yes |
Practice location
8963 Washington BlvdPico Rivera, CA 90660-3728
Phone 323-513-0842
Mailing address
23770 Canyon Vista CtDiamond Bar, CA 91765-6115
Phone 909-618-2545
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