Individual
M BRAD FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7900 STEVENS MILL RD # I, MATTHEWS, NC 28104-2929
(704) 882-1113
(704) 882-3711
Mailing address
7900 STEVENS MILL RD # I, MATTHEWS, NC 28104-2929
(704) 882-1113
(704) 882-3711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6763
NC
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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