Individual
DR. JOE BRYAN FULGHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14268 HIGHWAY 31, BROWNSBORO, TX 75756-0517
(903) 852-3278
(903) 852-3418
Mailing address
PO BOX 517, BROWNSBORO, TX 75756-0517
(903) 852-3278
(903) 852-3418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10399
TX
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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