Individual
MRS. KIA MICHELLE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3505 ETON DR, UPPER MARLBORO, MD 20772-6800
(410) 212-5738
Mailing address
3505 ETON DR, UPPER MARLBORO, MD 20772-6800
(410) 212-5738
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6119
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
MD
Enumeration date
07/29/2022
Last updated
07/29/2022
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