Forest Park Dental Pllc
NPI #1922529916 in Panama City, Florida
Provider Information
- NPI Number
- 1922529916
- Entity Type
- Organization
- Organization Name
- Forest Park Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 29, 2017
- Last Updated
- Jun 29, 2017
Practice Location
- Address
- 2620 JENKS AVE
- City
- Panama City
- State
- Florida
- ZIP Code
- 32405-4311
- Phone
- (850) 785-8586
Authorized Official
- Name
- SUSAN STEWART
- Title
- ADMINISTRATOR
- Phone
- (334) 676-2320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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