Individual
CHARLES STEVEN FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7737 SOUTHWEST FWY, SUITE 960, HOUSTON, TX 77074-1807
(713) 774-9774
(713) 771-8558
Mailing address
7737 SOUTHWEST FWY, SUITE 960, HOUSTON, TX 77074-1807
(713) 774-9774
(713) 771-8558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13614
TX
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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