Individual
DR. JAMES A FORESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
620 CALIFORNIA BLVD, SUITE G, SAN LUIS OBISPO, CA 93401-2541
(805) 592-2020
(805) 592-2022
Mailing address
620 CALIFORNIA BLVD, SUITE G, SAN LUIS OBISPO, CA 93401-2541
(805) 592-2020
(805) 592-2022
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
02938
RI
1223P0221X
Pediatric Dentistry
Primary
50253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02938
LICENSE
RI
01
—
50253
DENTAL LICENSE
CA
Enumeration date
12/04/2006
Last updated
01/16/2014
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