Organization
NEWSOM FORESTER DENTAL PARTNERSHIP
Active
Other names
Coastal Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALEXANDER FORESTER DDS (CO-OWNER/PARTNER)
(805) 592-2020
Entity
Organization
Contact information
Practice address
620 CALIFORNIA BLVD, SUITE G, SAN LUIS OBISPO, CA 93401-2541
(805) 592-2020
(805) 592-2022
Mailing address
620 CALIFORNIA BLVD, SUITE G, SAN LUIS OBISPO, CA 93401-2541
(805) 592-2020
(805) 592-2022
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
50253
CA
1223P0221X
Pediatric Dentistry
55823
CA
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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