Floss Ft Worth Pc

NPI 1760781595 - Dentist - 122300000X

NPI Details
NPI 1760781595
Enumeration Date 03/18/2011
Last Updated 03/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CLINTON F CLINTON
Position CEO
Phone (817) 529-1600
Fax (817) 529-1601
Practice Location
2421 W 7TH ST STE 103
FT WORTH TX, 76107-2325, US
Phone (817) 529-1600
Fax (817) 529-1601
Business Location
2421 W 7TH ST STE 103
FT WORTH TX, 76107-2325, US
Phone (817) 529-1600
Fax (817) 529-1601
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 20239
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According to our database, Floss Ft Worth Pc NPI is 1760781595, taxonomy code is 122300000X and license number is 20239, license state is located at Texas. Floss Ft Worth Pc physically located at 2421 W 7th St Ste 103, Ft Worth TX, 76107-2325. NPI Number 1033115704 has the healthcare provider type.

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1760781595 NPI number is provided on an as is basis without warranty of any kind. 1760781595 is maintained by the National Plan & Provider Enumeration System. The contents of Floss Ft Worth Pc are for informational purposes only.