| NPI | 1861572950 |
|---|---|
| Other Name | ADVANCED DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W FUQUA Owner 956-425-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16265) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-07-29 |