Fossum Dental Group
NPI #1699088666 in Copperas Cove, Texas
Provider Information
- NPI Number
- 1699088666
- Entity Type
- Organization
- Organization Name
- Fossum Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 20, 2010
- Last Updated
- Jul 20, 2010
Practice Location
- Address
- 806 E AVENUE D
- Address 2
- SUITE C
- City
- Copperas Cove
- State
- Texas
- ZIP Code
- 76522-2284
- Phone
- (254) 547-4866
Authorized Official
- Name
- RICHARD F FOSSUM, DDS
- Title
- OWNER
- Phone
- (254) 778-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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