BRENT EUGENE FOSSUM

KATY, TX
NPI1780996959
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  25630)
Enumeration Date2010-07-05
Last Update Date2010-07-05
Business Address
Dr. BRENT EUGENE FOSSUM D.D.S.
970 S FRY RD
KATY, TX 77450-3062
Phone number: 281-579-2233
Mailing Address
Dr. BRENT EUGENE FOSSUM D.D.S.
970 S FRY RD
KATY, TX 77450-3062
Phone number: 281-579-2233
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