Fossum Dental Group
NPI #1881807592 in Harker Heights, Texas
Provider Information
- NPI Number
- 1881807592
- Entity Type
- Organization
- Organization Name
- Fossum Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 201 W FM 2410 RD
- City
- Harker Heights
- State
- Texas
- ZIP Code
- 76548-1709
- Phone
- (254) 699-3565
Authorized Official
- Name
- DR. RCHARD FOSSUM, D.D.S
- Title
- ORGANIZER
- Phone
- (254) 778-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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