Individual
MICHAEL ERIC FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
65 LAWRENCEVILLE SUWANEE RD, SUITE 7, LAWRENCEVILLE, GA 30044-4629
(678) 407-3919
(678) 407-3918
Mailing address
65 LAWRENCEVILLE SUWANEE RD, SUITE 7, LAWRENCEVILLE, GA 30044-4629
(678) 407-3919
(678) 407-3918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012596
GA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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