Individual
GLENN ALVIN FOSTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4410 BERRY FARM ROAD, NORMAN, OK 73072
(405) 641-8852
(405) 579-4805
Mailing address
4410 BERRY FARM ROAD, NORMAN, OK 73072
(405) 641-8852
(405) 579-4805
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3460
OK
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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