Doctor Name: | DR. JAMES A FORESTER |
NPI Number: | 1013075159 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 02938 |
Business Practice Address: | 620 California Blvd Suite G San Luis Obispo, CA - 934012541 |
Business Phone Number: | 8055922020 |
Business Fax Number: | 8055922022 |
Mailing Address: | 620 California Blvd, Suite G SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934012541 |
Phone Number: | 8055922020 |
Fax Number: | 8055922022 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 01/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 02938 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |