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Organization
RICHARD F. FOSSUM DDS, PA
Active
Organization
RICHARD F. FOSSUM DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE VARGO (OFFICE MANAGER)
(254) 778-3900
Entity
Organization
Contact information
Practice address
2534 BLUE MEADOW DR, TEMPLE, TX 76502-7924
(254) 778-3900
Mailing address
2534 BLUE MEADOW DR, TEMPLE, TX 76502-7924
(254) 778-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19639
TX
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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