DR. Cletis R Foster, DDS

NPI #1326242058 in Indpls, Indiana

Provider Information

NPI Number: 1326242058
Entity Type: Individual
Name: DR. Cletis R Foster, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3810 W 86TH STREET
City: Indpls
State: Indiana
ZIP Code: 46268
Phone: (317) 872-3265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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