Fulshear Modern Dentistry,pc

NPI #1306380183 in Katy, Texas

Provider Information

NPI Number: 1306380183
Entity Type: Organization
Organization Name: Fulshear Modern Dentistry,pc
Primary Specialty: Dentist
Enumeration Date: Dec 13, 2016
Last Updated: Dec 13, 2016

Practice Location

Address: 5102 FM 1463 SUITE 100
City: Katy
State: Texas
ZIP Code: 77494
Phone: (281) 204-2156

Authorized Official

Name: DR. JOHN S BARNES, DDS
Title: OWNER DENTIST
Phone: (281) 204-2156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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