| Foster Family Dental | |
|
30940 Stagecoach Blvd # E250 Evergreen CO 80439-7984 | |
| (303) 674-6777 | |
| Not Available |
| Full Name | Foster Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 30940 Stagecoach Blvd # E250, Evergreen, Colorado |
| Authorized Official Name and Position | Patricia Jenny Foster (OWNER) |
| Authorized Official Contact | 3036746777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foster Family Dental 30940 Stagecoach Blvd # E250 Evergreen CO 80439-7984 Ph: (303) 674-6777 | Foster Family Dental 30940 Stagecoach Blvd # E250 Evergreen CO 80439-7984 Ph: (303) 674-6777 |
| NPI Number | 1528551801 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528551801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10506 (Colorado) | Primary |
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