| NPI | 1821210196 | 
|---|---|
| Professional Name | FORREST Q DUAN | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 38518)  | 
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA 38518)  | 
| Enumeration Date | 2007-05-03 | 
| Last Update Date | 2023-08-21 |