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Individual

DR. JEFFREY STEPHEN FORGOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
280 PLEASANT STREET, CONCORD, NH 03301
(603) 228-1191
(603) 228-1317
Mailing address
280 PLEASANT STREET, CONCORD, NH 03301
(603) 228-1191
(603) 228-1317

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1405
NH

Other

Enumeration date
06/11/2008
Last updated
06/11/2008
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