Individual
MRS. NICOLE RENEE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
415 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 975-7919
(423) 975-2210
Mailing address
510 OLD STAGE RD, ERWIN, TN 37650-1565
(423) 743-0545
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0000003643
TN
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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