| Luke A. Foster, Dds, Pllc | |
|
4047 Brookside Ave Saint Louis Park MN 55416-2808 | |
| (952) 924-0709 | |
| (952) 746-3329 |
| Full Name | Luke A. Foster, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4047 Brookside Ave, Saint Louis Park, Minnesota |
| Authorized Official Name and Position | Luke Foster (OWNER) |
| Authorized Official Contact | 9529240709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luke A. Foster, Dds, Pllc 4047 Brookside Ave Saint Louis Park MN 55416-2808 Ph: (952) 924-0709 | Luke A. Foster, Dds, Pllc 4047 Brookside Ave Saint Louis Park MN 55416-2808 Ph: (952) 924-0709 |
| NPI Number | 1265059885 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265059885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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