Organization
FOSTER ORTHODONTICS, PA
Active
Other names
Keith Street Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A CLINE (CREDENTIALING SPECIALIST)
(404) 410-1340
Entity
Organization
Contact information
Practice address
110 BUFORD AVE, ANDERSON, SC 29621-3314
(864) 224-2526
(864) 224-2855
Mailing address
110 BUFORD AVE, ANDERSON, SC 29621-3314
(864) 224-2526
(864) 224-2855
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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