Individual
CARLOS FORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1400 NW 12TH AVE, .#2005, MIAMI, FL 33136-1003
(305) 689-6725
(305) 689-1133
Mailing address
10225 SW 24TH ST APT B425, MIAMI, FL 33165-2565
(786) 209-4323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22899
FL
390200000X
Student in an Organized Health Care Education/Training Program
0200000
FL
Other
Enumeration date
04/01/2014
Last updated
07/23/2017
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