Individual
DR. ROBERT A FOZKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1003 W TOLEDO ST, FREMONT, IN 46737-2075
(570) 654-4141
Mailing address
882 MEADOWDALE CT, VALPARAISO, IN 46383-9742
(219) 510-2286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013333A
IN
1223G0001X
General Practice Dentistry
DS041878
PA
Other
Enumeration date
07/25/2018
Last updated
09/18/2024
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