Individual
DR. JOHN EDWARD FORSYTH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2742 19TH AVE., FOREST GROVE, OR 97116-0655
(503) 357-7177
(503) 357-2802
Mailing address
2742 19TH AVE., P.O. BOX 655, FOREST GROVE, OR 97116-0655
(503) 357-7177
(503) 357-2802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4518
OR
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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