Organization
FOSTER ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER A SNOW (CREDENTIALING COORDINATOR)
(404) 410-1340
Entity
Organization
Contact information
Practice address
1055 RIBAUT ROAD BUILDING 20 STE A, BEAUFORT, SC 29902-5423
(843) 524-6363
(843) 522-9735
Mailing address
1055 RIBAUT ROAD BUILDING 20 STE A, BEAUFORT, SC 29902-6187
(843) 524-6363
(843) 522-9735
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
12/01/2021
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