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Fossil Dental
Dental Clinic/Center in Live Oak, Texas
NPI 1164125456

Fossil Dental is a Dental Clinic/Center based in Live Oak, TX and is specialized in Dental. Fossil Dental practices in Live Oak, TX. The NPI Number for Fossil Dental is 1164125456 and holds a License No. (Texas).

The current practice location address for Fossil Dental is 8142 Shin Oak Dr Ste 100, Live Oak, TX and can be reached out via phone at 210-888-5832.

Location: 8142 Shin Oak Dr Ste 100, Live Oak, TX, 78233-2775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164125456
Provider Name
Fossil Dental
Credential
Provider Entity Type
Organization
Address
8142 Shin Oak Dr Ste 100, Live Oak, TX, 78233-2775
Phone Number
210-888-5832
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
8142 Shin Oak Dr Ste 100
City
Live Oak
State
Texas
Zip
78233-2775
Phone Number
210-888-5832
Fax Number
person
Provider Business Mailing Address Details
Address
8142 Shin Oak Dr Ste 100
City
Live Oak
State
Texas
Zip
78233-2775
Phone Number
210-888-5832
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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