Organization
FOSTER ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN D KING (PRESIDENT)
(319) 235-9385
Entity
Organization
Contact information
Practice address
845 W 4TH STREET, WATERLOO, IA 50702
(319) 235-9385
(319) 236-7991
Mailing address
845 W 4TH STREET, WATERLOO, IA 50702
(319) 235-9385
(319) 236-7991
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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