| NPI | 1316558307 |
|---|---|
| Doing Business As | FULTON DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSHUA S PRATHER Owner/Dentist 573-289-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |