Foster, Miranda
Foster, Miranda is an individual health care provider with primary practice located at 2515 Maplecrest Rd , Bettendorf IA 52722-2798. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Foster, Miranda can be contacted via phone (563) 332-1600.Contact Information
Primary practice address
2515 Maplecrest Rd
Bettendorf IA 52722-2798
Phone: (563) 332-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DDS-09844 | Iowa |
| Dental Providers / General Practice | 1223G0001X | 019.031326 | Illinois |
Profile Details
| NPI number | 1043736473 |
|---|---|
| LBN Legal business name | Foster, Miranda |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2017 |
| Last updated | Jan 20th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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