| NPI | 1306380183 |
|---|---|
| Doing Business As | FULSHEAR MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN S BARNES Owner Dentist 281-204-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |