| NPI | 1568247203 |
|---|---|
| Doing Business As | FULBRIGHT COSMETIC & RECONSTRUCTIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FULBRIGHT Partner 310-316-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-04-09 |