Individual
CLAIRE NICOLE FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6012 W WILLIAM CANNON DR STE B102, AUSTIN, TX 78749-1978
(847) 271-7720
Mailing address
9712 MCKNIGHT LOOP, AUSTIN, TX 78717-4668
(847) 271-7720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029839
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36958
TX
Other
Enumeration date
07/16/2014
Last updated
06/29/2021
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