Individual
DR. CARL DOUGLAS FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9314 JUANCITIDO LANE, YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER, EL PASO, TX 79907
(915) 858-1076
(915) 858-2367
Mailing address
222 S. CAMPBELL ST., EL PASO, TX 79901-2838
(915) 543-3580
(915) 543-3510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11802
TX
1223D0001X
Public Health Dentistry
11802
TX
Other
Enumeration date
05/27/2005
Last updated
09/05/2008
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