| NPI | 1457139040 |
|---|---|
| Doing Business As | FOREST NORTH DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD ROSENBLATT Owner Dentist 847-234-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |