MAX FORNI

LAKE WALES, FL
NPI1356435473
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  15652)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- MAX FORNI D.M.D.
701 STATE ROAD 60 E
LAKE WALES, FL 33853-4240
Phone number: 863-676-6021
Mailing Address
-- MAX FORNI D.M.D.
701 STATE ROAD 60 E
LAKE WALES, FL 33853-4240
Phone number: 863-676-6021
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