Individual
DR. LOUIS M FORRESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
308 TUCKERTON RD, MEDFORD, NJ 08055-8666
(609) 714-2273
Mailing address
308 TUCKERTON RD, MEDFORD, NJ 08055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PENDING
NJ
Other
Enumeration date
08/10/2011
Last updated
10/10/2012
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