# DR ERIC J FOSTER DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 36th Street Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689752537
- **Authorized official:** DR. ERIC JOHN FOSTER DDS (DENTIST)
- **Authorized official phone:** (616) 538-4330

## Contact information

- **Practice address:** 630 36TH STREET SW, GRAND RAPIDS, MI 49509
- **Practice address phone:** (616) 538-4330
- **Practice address fax:** (616) 538-5353
- **Mailing address:** 630 36TH STREET SW, GRAND RAPIDS, MI 49509
- **Mailing address phone:** (616) 538-4330
- **Mailing address fax:** (616) 538-5353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901018395 | MI | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020