NPI | 1588928485 |
---|---|
Other Name | MARIAN B FOSTER-JORDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 15002) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401413598) |
122300000X Dentist (Licence: MD 15002) | |
Enumeration Date | 2012-06-26 |
Last Update Date | 2018-07-16 |