Individual
DESMOND FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
4030 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3011
(678) 534-7325
Mailing address
929 ROLLING BRACH WAY SE, LAWRENCEVILLE, GA 30045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN21634
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015634
GA
Other
Enumeration date
11/21/2016
Last updated
05/30/2018
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