Individual
DR. BRADLEY E. FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 W OSHKOSH ST, RIPON, WI 54971-1001
(920) 748-6122
Mailing address
644 W OSHKOSH ST, RIPON, WI 54971-1001
(920) 748-6122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6116
WI
Other
Enumeration date
10/01/2007
Last updated
06/07/2010
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