Organization
CHARLES L. FOSTER JR. DDS INC.
Active
Other names
Easy and Affordable Kids Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L FOSTER JR. DDS (DENTIST)
(248) 635-6449
Entity
Organization
Contact information
Practice address
3800 W EL SEGUNDO BLVD, SUITE 203, HAWTHORNE, CA 90250-4677
(310) 679-0687
Mailing address
3800 W EL SEGUNDO BLVD, SUITE 203, HAWTHORNE, CA 90250-4677
(310) 679-0687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53412
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B53412
—
CA
Enumeration date
10/26/2009
Last updated
10/26/2009
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