5th Avenue Dental Pllc

NPI #1609446632 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1609446632
Entity Type: Organization
Organization Name: 5th Avenue Dental Pllc
Primary Specialty: Dentist - Periodontics
Enumeration Date: Jun 30, 2021
Last Updated: Jun 30, 2021

Practice Location

Address: 1500 N FEDERAL HWY STE 280
City: Ft Lauderdale
State: Florida
ZIP Code: 33304-5600
Phone: (561) 205-5000

Authorized Official

Name: DR. ANDREW FORREST, DDS
Title: PERIODONTIST/OWNER
Phone: (561) 205-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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