| NPI | 1538356852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TSUKURU FUKUDA Partner 409-882-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16264) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |