Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 17155 | MA |
NPI | 1245864263 |
---|---|
Provider Name | Dr. Belinda A Forbes |
First Address | Takoma Park, MD 20912-6858 |
Second Address | Takoma Park, MD 20912-6858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2020 |
Last Update Date | 28/02/2020 |