Provider Demographics
NPI:1003971565
Name:FORRESTER, OLGALIN FRANCES (DDS)
Entity type:Individual
Prefix:
First Name:OLGALIN
Middle Name:FRANCES
Last Name:FORRESTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NORTHWEST DRIVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20901
Mailing Address - Country:US
Mailing Address - Phone:301-593-4749
Mailing Address - Fax:
Practice Address - Street 1:700 NORTHWEST DRIVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20901
Practice Address - Country:US
Practice Address - Phone:301-593-4749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD094351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice