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Individual

MR. FOREST RATHFON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
PO BOX 305, SIMPSONVILLE, KY 40067-0305

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12898
NC
261QD0000X
Dental Clinic/Center

Other

Enumeration date
04/20/2022
Last updated
07/30/2022
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