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Organization
JONATHAN H FORD DDS INC
Active
Organization
JONATHAN H FORD DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN FORD DMD (OWNER)
(714) 842-7431
Entity
Organization
Contact information
Practice address
5355 WARNER AVE STE 101, HUNTINGTON BEACH, CA 92649-6040
(714) 409-6161
(714) 841-7148
Mailing address
5355 WARNER AVE STE 101, HUNTINGTON BEACH, CA 92649-6040
(714) 409-6161
(714) 841-7148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/07/2021
Last updated
01/29/2024
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