NPI 1609827013

Foster Oral Surgery PC

Organisation Oral and Maxillofacial Surgery (Dentist) Waterloo, IA

Practice location

Address: 845 W 4th Street, Waterloo, IA 50702
Phone: (319) 235-9385
Fax: (319) 236-7991

Authorised official

Name: Edwin D King
Title: President
Phone: (319) 235-9385

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X

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Registry record

NPI: 1609827013
Entity type: Organization
NPI issued: 12 May 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.