| Foster Oral Surgery Pc | |
|
845 W 4th Street Waterloo IA 50702 | |
| (319) 235-9385 | |
| (319) 236-7991 |
| Full Name | Foster Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 845 W 4th Street, Waterloo, Iowa |
| Authorized Official Name and Position | Edwin D King (PRESIDENT) |
| Authorized Official Contact | 3192359385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foster Oral Surgery Pc 845 W 4th Street Waterloo IA 50702 Ph: (319) 235-9385 | Foster Oral Surgery Pc 845 W 4th Street Waterloo IA 50702 Ph: (319) 235-9385 |
| NPI Number | 1609827013 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609827013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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