| NPI | 1699540518 |
|---|---|
| Doing Business As | FULLERTON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GORDEN PANG Owner 402-598-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |