MARK DALE FOSTER

WAUSAU, WI
NPI1497030100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WI  6740-15)
Enumeration Date2011-10-13
Last Update Date2011-10-13
Business Address
Dr. MARK DALE FOSTER DDS MS
413 N 17TH AVE
WAUSAU, WI 54401-4226
Phone number: 715-842-4649
Mailing Address
Dr. MARK DALE FOSTER DDS MS
4302 CANVASBACK LN
WAUSAU, WI 54401-9146
Phone number: 414-581-3222
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