Fusion Dental at Clear Creek Pllc

NPI #1851702872 in Killeen, Texas

Provider Information

NPI Number: 1851702872
Entity Type: Organization
Organization Name: Fusion Dental at Clear Creek Pllc
Primary Specialty: Dentist
Enumeration Date: May 13, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 4102 S CLEAR CREEK RD STE 102
City: Killeen
State: Texas
ZIP Code: 76549-5954
Phone: (254) 213-5773

Authorized Official

Name: JOHNNY W JOHNSON
Title: OWNER/DENTIST
Phone: (254) 213-5773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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