Max Forni Dmd P.a.
NPI #1053540153 in Lake Wales, Florida
Provider Information
- NPI Number
- 1053540153
- Entity Type
- Organization
- Organization Name
- Max Forni Dmd P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 9, 2009
- Last Updated
- Jul 9, 2009
Practice Location
- Address
- 701 STATE ROAD 60 E
- City
- Lake Wales
- State
- Florida
- ZIP Code
- 33853-4240
- Phone
- (863) 676-6021
Authorized Official
- Name
- DR. MAX FORNI, DMD
- Title
- PRESIDENT
- Phone
- (863) 676-6021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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