Individual
ELIZABETH CHRISTINE FOULKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2442 MOUNDS VIEW BLVD, MOUNDS VIEW, MN 55112
(763) 316-5400
Mailing address
30837 TUCKER ST NE, CAMBRIDGE, MN 55008-2226
(812) 240-0242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13616
MN
Other
Enumeration date
07/19/2013
Last updated
04/02/2019
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