Individual
GARY GEORGE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 E 200 N, LOGAN, UT 84321-4007
(435) 752-0300
(435) 755-7625
Mailing address
110 E 200 N, LOGAN, UT 84321-4007
(435) 752-0300
(435) 755-7625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1454209923
UT
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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