Individual
DR. FRED MASON BLOSSER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6104 AVENUE Q SOUTH DR, LUBBOCK, TX 79412-3700
(806) 472-3470
Mailing address
3804 67TH ST, LUBBOCK, TX 79413-6009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11742
TX
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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