Individual
KATHRYN FORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 HARVARD ST STE 402, BROOKLINE, MA 02446-5005
(617) 982-2980
Mailing address
251 HEATH ST APT 304, BOSTON, MA 02130-1168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859672
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2022
Last updated
06/12/2023
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