Forrest, Mark

Forrest, Mark is an sole proprietor health care provider with primary practice located at 601 N Flamingo Rd Suite 318, Pembroke Pines FL 33028-1015. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Forrest, Mark can be contacted via phone (954) 435-0100.

Contact Information

Primary practice address
601 N Flamingo Rd Suite 318 Pembroke Pines FL 33028-1015
Phone: (954) 435-0100
Fax: (954) 430-8900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 5906 Florida

Profile Details

NPI number 1457423360
LBN Legal business name Forrest, Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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