NPI | 1699088666 |
---|---|
Doing Business As | BENCHMARK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | RICHARD F FOSSUM Owner 254-778-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19639) |
Enumeration Date | 2010-07-20 |
Last Update Date | 2010-07-20 |