Individual
DR. ROSS LUCAS FORRESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
800 W FORREST AVE, EUFAULA, OK 74432-3249
(918) 448-8399
Mailing address
P.O. BOX 400, OKMULGEE, OK 74447-3551
(918) 448-8399
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D009682
AZ
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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