Quattro, Forrest Lance

Quattro, Forrest Lance is an sole proprietor health care provider with primary practice located at 21925 Van Born Rd , Taylor MI 48180-1335. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Quattro, Forrest Lance can be contacted via phone (586) 295-4338.

Contact Information

Primary practice address
21925 Van Born Rd Taylor MI 48180-1335
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 014821 Michigan

Profile Details

NPI number 1316095912
LBN Legal business name Quattro, Forrest Lance
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
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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