Organization
R. DANFORD DOSS, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND DANFORD DOSS DDS (PRESIDENT)
(817) 731-6964
Entity
Organization
Contact information
Practice address
4200 BRYANT IRVIN RD STE 129, BENBROOK, TX 76109-4212
(817) 731-6964
(817) 731-4273
Mailing address
4200 BRYANT IRVIN RD STE 129, BENBROOK, TX 76109-4212
(817) 731-6964
(817) 731-4273
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1842700
—
TX
Enumeration date
05/15/2008
Last updated
05/15/2008
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