Organization
M. BRAD FORREST & STACY OLLER FORREST, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M BRAD FORREST DMD (PRESIDENT)
(704) 882-1113
Entity
Organization
Contact information
Practice address
7900 STEVENS MILL ROAD, STE I, MATTHEWS, NC 28104-2929
(704) 882-1113
(704) 882-3711
Mailing address
7900 STEVENS MILL ROAD, STE I, MATTHEWS, NC 28104-2929
(704) 882-1113
(704) 882-3711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC6763
NC
Other
Enumeration date
04/18/2007
Last updated
07/28/2008
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