Organization
G.R. FOSTER III D.M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURDON R. FOSTER III D.M.D. (PRESIDENT)
(770) 957-2923
Entity
Organization
Contact information
Practice address
153 DECATUR RD, MCDONOUGH, GA 30253-2025
(770) 957-2923
(770) 957-2924
Mailing address
153 DECATUR RD, MCDONOUGH, GA 30253-2025
(770) 957-2923
(770) 957-2924
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8268
GA
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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