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Organization

KEN FOSTER, DMD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH ROBERT FOSTER JR. DMD (DENTIST/OWNER)
(570) 678-3384
Entity
Organization

Contact information

Practice address
683 S. MOUNTAIN BLVD SUITE#4, MOUNTAIN TOP, PA 18707-9603
(570) 678-3383
Mailing address
683 S. MOUNTAIN BLVD SUITE#4, MOUNTAIN TOP, PA 18707-9603
(570) 678-3383

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036877
PA

Other

Enumeration date
08/22/2011
Last updated
08/22/2011
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