Most Relevant Information
Provider Data
| NPI Number: | 1003007378 |
| Provider Name: | GLENN ALVIN FOSTER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223S0112X |
| Specialty: | Dentist |
| License Number: | 3460 |
Most Important Dates
| Enumeration Date: | 08/05/2007 |
| Last Updated: | 08/05/2007 |
Provider Practice Location
4410 BERRY FARM ROAD
NORMAN
OK
73072
Practice Location Phone/Fax
| Phone: | 4056418852 |
| Fax: | 4055794805 |
Provider Mailing Location
4410 BERRY FARM ROAD
NORMAN
OK
73072
Provider Mailing Phone/Fax
| Phone: | 4056418852 |
| Fax: | 4055794805 |