Doctor Name: | DR. RAYMOND DANFORD DOSS |
NPI Number: | 1235225251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 12108 |
Business Practice Address: | 4200 Bryant Irvin Rd #129 Benbrook, TX - 761094287 |
Business Phone Number: | 8177316964 |
Business Fax Number: | 8177314273 |
Mailing Address: | 4200 Bryant Irvin Rd, Suite 129 BENBROOK |
State: | TX |
Postal Code: | 761094287 |
Phone Number: | 8177316964 |
Fax Number: | 8177314273 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 12108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |