Individual
DR. JEFFREY ALLAN FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
413 N 17TH AVE, WAUSAU, WI 54401-4226
(715) 842-4649
(715) 842-7331
Mailing address
413 N 17TH AVE, WAUSAU, WI 54401-4226
(715) 842-4649
(715) 842-7331
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5938
WI
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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