Organization
FOREST PARK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN STEWART (ADMINISTRATOR)
(334) 676-2320
Entity
Organization
Contact information
Practice address
2620 JENKS AVE, PANAMA CITY, FL 32405-4311
(850) 785-8586
Mailing address
3150 ZELDA CT, MONTGOMERY, AL 36106-2607
(334) 676-2320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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