Organization
FOSTER ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A CLINE (CREDENTIALING SPECIALIST)
(678) 986-7116
Entity
Organization
Contact information
Practice address
953 ORANGEBURG RD STE A, SUMMERVILLE, SC 29483-8941
(843) 281-2001
(843) 281-2002
Mailing address
953 ORANGEBURG RD STE A, SUMMERVILLE, SC 29483-8941
(843) 281-2001
(843) 281-2002
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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