DR. Mark Dale Foster, DDS MS

NPI #1497030100 in Wausau, Wisconsin

Provider Information

NPI Number
1497030100
Entity Type
Individual
Name
DR. Mark Dale Foster, DDS MS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DDS MS
Enumeration Date
Oct 13, 2011
Last Updated
Oct 13, 2011

Practice Location

Address
413 N 17TH AVE
City
Wausau
ZIP Code
54401-4226
Phone
(715) 842-4649

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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