Individual
BEVERLY MARIE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1468 EAST 55TH STREET, CLEVELAND, OH 44103-1307
(216) 881-2000
(216) 231-3828
Mailing address
4800 PAYNE AVENUE, CLEVELAND, OH 44103-2443
(216) 231-7700
(216) 231-3828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17077
TX
122300000X
Dentist
Primary
30.025571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314965
—
OH
Enumeration date
09/29/2006
Last updated
10/08/2021
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