Individual
DR. CHELSEA FOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02699100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
060136
NY
Other
Enumeration date
03/11/2018
Last updated
06/10/2019
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