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Individual

DR. JAMES BRADLEY FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
130 W OLD HWY 2, MERNA, NE 68856-0305
(308) 643-2255
Mailing address
PO BOX 305, 130 W OLD HWY 2, MERNA, NE 68856-0305
(308) 643-2255

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4849
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47062625900
NE
Enumeration date
04/13/2007
Last updated
07/08/2007
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