Individual
DR. STEPHEN FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2375 BERKSHIRE PKWY, CLIVE, IA 50325
(515) 987-7670
(515) 987-7671
Mailing address
2375 BERKSHIRE PKWY, CLIVE, IA 50325
(515) 987-7670
(515) 987-7671
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7057
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021907
—
IA
Enumeration date
12/07/2005
Last updated
07/09/2007
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