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Organization
KIMBERLY MARIE FORD, DDS, LLC
Active
Organization
KIMBERLY MARIE FORD, DDS, LLC
Active
Other names
Ellicott Mills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY MARIE FORD DDS (OWNER)
(443) 867-4928
Entity
Organization
Contact information
Practice address
3505 ELLICOTT MILLS DR STE B2, ELLICOTT CITY, MD 21043-4578
(410) 461-3311
(410) 750-7348
Mailing address
3505 ELLICOTT MILLS DR STE B2, ELLICOTT CITY, MD 21043-4578
(410) 461-3311
(410) 750-7348
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023397502
NPI
MD
Enumeration date
12/28/2018
Last updated
12/28/2018
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