Individual
DR. MARK FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
601 N FLAMINGO RD, SUITE 318, PEMBROKE PINES, FL 33028-1015
(954) 435-0100
(954) 430-8900
Mailing address
601 N FLAMINGO RD, SUITE 318, PEMBROKE PINES, FL 33028-1015
(954) 435-0100
(954) 430-8900
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5906
FL
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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