Individual
KENNETH R FOSTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
107 SOUTH MARKET STREET, SUITE 2, BERWICK, PA 18603
(570) 752-8753
(570) 759-6372
Mailing address
107 SOUTH MARKET STREET, SUITE 2, BERWICK, PA 18603
(570) 752-8753
(570) 759-6372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036877
PA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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