Organization
FOSTER ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DESMOND FOSTER DMD, MS (OWNER/ORTHODONTIST)
(470) 508-0085
Entity
Organization
Contact information
Practice address
1942 ATKINSON RD STE 500, LAWRENCEVILLE, GA 30043-5006
(470) 508-0085
Mailing address
1030 NOURS CIR, LAWRENCEVILLE, GA 30045-9115
(470) 508-0085
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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