| Fulshear Modern Dentistry | |
|
5102 Fm 1463 Suite 100 Katy TX 77494 | |
| (281) 204-2156 | |
| (281) 547-7340 |
| Full Name | Fulshear Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5102 Fm 1463 Suite 100, Katy, Texas |
| Authorized Official Name and Position | John S Barnes (OWNER DENTIST) |
| Authorized Official Contact | 2812042156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulshear Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8701 | Fulshear Modern Dentistry 5102 Fm 1463 Suite 100 Katy TX 77494 Ph: (281) 204-2156 |
| NPI Number | 1306380183 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 12/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306380183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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