Provider Demographics
NPI:1962653550
Name:FOSTER, LATRICE ROCHAUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LATRICE
Middle Name:ROCHAUN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9962 BROOK RD # 160
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-6501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8945 HIGHWAY 6 N STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2790
Practice Address - Country:US
Practice Address - Phone:281-656-2444
Practice Address - Fax:866-929-5691
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25818122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist