Russell A Forrest JR. DDS

NPI 1124132915 - Dentist - 1223G0001X

NPI Details
NPI 1124132915
Gender Male
Enumeration Date 08/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2300 SW 29TH ST
SUITE 221
TOPEKA KS, 66611-1739, US
Phone (785) 266-0330
Fax
Business Location
2300 SW 29TH ST
SUITE 221
TOPEKA KS, 66611-1739, US
Phone (785) 266-0330
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Kansas
License Number 6302
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According to our database, Russell A Forrest JR. DDS NPI is 1124132915, taxonomy code is 1223G0001X and license number is 6302, license state is located at Kansas. Russell A Forrest JR. DDS physically located at 2300 Sw 29th St, Topeka KS, 66611-1739. NPI Number Russell A Forrest JR. DDS has the Individual type.

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1124132915 NPI number is provided on an as is basis without warranty of any kind. 1124132915 is maintained by the National Plan & Provider Enumeration System. The contents of Russell A Forrest JR. DDS are for informational purposes only.