| NPI | 1821529967 |
|---|---|
| Doing Business As | FAIRLAKES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PIERRE M GHATTAS Dentist/Owner 281-973-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 22621) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |