Individual
RUSSELL A FORREST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2300 SW 29TH ST, SUITE 221, TOPEKA, KS 66611-1739
(785) 266-0330
Mailing address
2300 SW 29TH ST, SUITE 221, TOPEKA, KS 66611-1739
(785) 266-0330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6302
KS
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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