| Floss | |
|
2600 E Southlake Blvd Suite 170 Southlake TX 76092-6634 | |
| (817) 328-0110 | |
| (817) 328-0121 |
| Full Name | Floss |
|---|---|
| Speciality | Dentist |
| Location | 2600 E Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Clinton F Herzog (OWNER) |
| Authorized Official Contact | 8173280110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Floss 2600 E Southlake Blvd Suite 170 Southlake TX 76092-6634 Ph: (817) 328-0110 | Floss 2600 E Southlake Blvd Suite 170 Southlake TX 76092-6634 Ph: (817) 328-0110 |
| NPI Number | 1922374263 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922374263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Texas) | Primary |
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