NPI | 1063649317 |
---|---|
Doing Business As | FITZGERALD FAMILY DENTAL PRACTICE |
Entity Type | Organization |
Authorized Contact | SEAN E. FITZGERALD Owner 281-852-2150 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24542) |
Enumeration Date | 2009-06-14 |
Last Update Date | 2020-01-08 |