Individual
IAN FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
9864 LUCKEY DR, HOUGHTON, NY 14744-8706
(716) 375-7500
(716) 701-6898
Mailing address
9864 LUCKEY DR, HOUGHTON, NY 14744-8706
(716) 375-7500
(716) 701-6898
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
029202
NY
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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