DR. Richard F Fossum, D.D.S.

NPI #1265451660 in Temple, Texas

Provider Information

NPI Number: 1265451660
Entity Type: Individual
Name: DR. Richard F Fossum, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2534 BLUE MEADOW DR
City: Temple
State: Texas
ZIP Code: 76502-7924
Phone: (254) 778-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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