Individual
DR. FORREST ROBERT JERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3360 US HWY 27, SUITE A, FRUITLAND PARK, FL 34731-4141
(352) 728-8881
(352) 728-2650
Mailing address
3360 US HWY 27/441, SUITE A, FRUITLAND PARK, FL 34731-4141
(352) 728-8881
(352) 728-2650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10537
FL
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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