| NPI | 1003978057 |
|---|---|
| Doing Business As | FORWARD DENTAL |
| Entity Type | Organization |
| Authorized Contact | PETER YOUNG Vice President Of Operations 414-357-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |