Organization
5TH AVENUE DENTAL PLLC
Active
Other names
5th Avenue Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW FORREST DDS (PERIODONTIST/OWNER)
(561) 205-5000
Entity
Organization
Contact information
Practice address
1500 N FEDERAL HWY STE 280, FT LAUDERDALE, FL 33304-5600
(561) 205-5000
Mailing address
1500 N FEDERAL HWY STE 280, FT LAUDERDALE, FL 33304-5600
(561) 205-5000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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