Individual
DR. MARK LAWRENCE FOSTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
221 W MILLBROOK RD, RALEIGH, NC 27609-4678
(919) 787-1866
Mailing address
221 WEST MILLBROOK ROAD, RALEIGH, NC 27609-4678
(919) 787-1866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9242
NC
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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