| NPI | 1467697003 |
|---|---|
| Doing Business As | FULKS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CLINT ALLEN FULKS Owner 501-350-4564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3521) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2023-06-01 |