NPI | 1942372453 |
---|---|
Former Name | KATRINA K FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-026932) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 1002046) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.003091) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12013584A) | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2023-11-21 |