Individual
PATRICIA ELLEN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.D.H.
Contact information
Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0703
Mailing address
2775 LARKSPUR RD, DELAND, FL 32724-4904
(386) 956-9891
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22023
FL
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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