Individual
DAVINE KIM FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1231 27TH ST S STE A, FARGO, ND 58103-8722
(701) 235-1261
(701) 235-1268
Mailing address
1231 27TH ST S STE A, FARGO, ND 58103-8722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2557
ND
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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