Individual
DR. CATHY ZOE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
490 S MAIN STREET, SUITE 201, ROCKY MOUNT, VA 24151
(540) 483-5241
(540) 484-1121
Mailing address
5119 ELK HILL DR, ROANOKE, VA 24018-8616
(540) 989-5588
(540) 484-1121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005503
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802749
—
VA
Enumeration date
09/20/2006
Last updated
07/08/2007
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