Organization
FOSTER ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A CLINE (CREDENTIALING SPECIALIST)
(678) 986-7116
Entity
Organization
Contact information
Practice address
12131 ASHEVILLE HWY, INMAN, SC 29349-1844
(864) 472-8717
(864) 472-6100
Mailing address
12131 ASHEVILLE HWY, INMAN, SC 29349-1844
(864) 472-8717
(864) 472-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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