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Individual

ERICA STONE FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1135 KIMBROUGH RD, ASHLAND CITY, TN 37015-6190
(919) 770-0442
Mailing address
1135 KIMBROUGH RD, ASHLAND CITY, TN 37015-6190

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
9159
TN
124Q00000X
Dental Hygienist
Primary
9735
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
FORT CAMPBELL
Enumeration date
08/03/2018
Last updated
08/03/2018
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