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:
Health care specialties
| Specialty | Code | License # | 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 17 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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