| Floss Dental | |
|
2421 W 7th St Ste 103 Ft Worth TX 76107-2325 | |
| (817) 529-1600 | |
| (817) 529-1601 |
| Full Name | Floss Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2421 W 7th St Ste 103, Ft Worth, Texas |
| Authorized Official Name and Position | Clinton F Herzog (CEO) |
| Authorized Official Contact | 2148717100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Floss Dental 2421 W 7th St Ste 103 Ft Worth TX 76107-2325 Ph: (817) 529-1600 | Floss Dental 2421 W 7th St Ste 103 Ft Worth TX 76107-2325 Ph: (817) 529-1600 |
| NPI Number | 1760781595 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760781595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20239 (Texas) | Secondary |
| 122300000X | Dentist | 25784 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 20239 (Texas) | Primary |
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