Individual
DR. GLENN SCOTT FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
707 BROADWAY, LOWER LEVEL, MASSAPEQUA, NY 11758-2327
(516) 797-3285
Mailing address
707 BROADWAY, LOWER LEVEL, MASSAPEQUA, NY 11758-2327
(516) 797-3285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039 055-1
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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