Floss Ft Worth PC

NPI #1760781595 in Ft Worth, Texas

Provider Information

NPI Number: 1760781595
Entity Type: Organization
Organization Name: Floss Ft Worth PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 18, 2011
Last Updated: Mar 18, 2011

Practice Location

Address: 2421 W 7TH ST STE 103
City: Ft Worth
State: Texas
ZIP Code: 76107-2325
Phone: (817) 529-1600

Authorized Official

Name: DR. CLINTON F HERZOG, DDS
Title: CEO
Phone: (214) 871-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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