Individual
DR. KIM K FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
23922 CINCO VILLAGE CTR BLVD, SUITE 250, KATY, TX 77494-6619
(281) 392-4571
(281) 392-8736
Mailing address
23922 CINCO VILLAGE CTR BLVD, SUITE 250, KATY, TX 77494-6619
(281) 392-4571
(281) 392-8736
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
460280
UNITED CONCORDIA INSURANCE COMPANY
TX
Enumeration date
05/15/2008
Last updated
03/21/2013
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