Individual
DR. FOREST F REA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2900 NW VINE ST, SUITE L, GRANTS PASS, OR 97526-8411
(541) 471-1990
Mailing address
2900 NW VINE ST, SUITE L, GRANTS PASS, OR 97526-8411
(541) 471-1990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4548
OR
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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