ANDREW C FOSSUM

FARMINGTON, CT
NPI1699921403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT  11588)
Enumeration Date2008-08-12
Last Update Date2016-07-08
Business Address
Dr. ANDREW C FOSSUM D.D.S.
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
Mailing Address
Dr. ANDREW C FOSSUM D.D.S.
6 TALCOTT FOREST RD APT T
FARMINGTON, CT 06032-3571
Phone number: