Forest Dental Practice Pllc
NPI #1427314392 in Forest, Mississippi
Provider Information
- NPI Number
- 1427314392
- Entity Type
- Organization
- Organization Name
- Forest Dental Practice Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 5, 2012
- Last Updated
- Apr 5, 2012
Practice Location
- Address
- 1040 HIGHWAY 35 S
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-9423
- Phone
- (601) 469-3851
Authorized Official
- Name
- MRS. ANNE S GIBSON
- Title
- OFFICE ASSISTANT
- Phone
- (601) 469-3851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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