Individual
ELIZABETH ROSE FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14406 HARRISON ST, OMAHA, NE 68138-6521
(402) 333-1120
Mailing address
17237 MUSKET ST, OMAHA, NE 68136-2151
(402) 305-5001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2410
NE
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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