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Jerry Lynn Foxx, DDS Valid NPI

Individual provider · General Practice Dentistry · Mansfield, TX

NPI
1295819092
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
13616 (TX)
Sex
Male
Sole proprietor
No
Enumerated
2006-10-25
Last updated
2009-10-26
Practice location
1700 Country Club Dr, Suite A
Mansfield, TX 76063-2615
(817) 473-6227

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