M. Brad Forrest & Stacy Oller Forrest, Dmd, PA
NPI #1508082421 in Matthews, North Carolina
Provider Information
- NPI Number
- 1508082421
- Entity Type
- Organization
- Organization Name
- M. Brad Forrest & Stacy Oller Forrest, Dmd, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Jul 28, 2008
Practice Location
- Address
- 7900 STEVENS MILL ROAD
- Address 2
- STE I
- City
- Matthews
- State
- North Carolina
- ZIP Code
- 28104-2929
- Phone
- (704) 882-1113
Authorized Official
- Name
- DR. M BRAD FORREST, DMD
- Title
- PRESIDENT
- Phone
- (704) 882-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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