Most Relevant Information
Provider Data
| NPI Number: | 1003485418 |
| Provider Name: | MADISON PAIGE FUSTON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 37275 |
Most Important Dates
| Enumeration Date: | 06/21/2021 |
| Last Updated: | 06/21/2021 |
Provider Practice Location
3140 CENTRAL MALL DR
PORT ARTHUR
TX
776428039
Practice Location Phone/Fax
| Phone: | 4097272164 |
| Fax: |
Provider Mailing Location
7100 ALMEDA RD APT 526
HOUSTON
TX
770542129
Provider Mailing Phone/Fax
| Phone: | 4092891929 |
| Fax: |