Organization
FORD MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW FORD (OWNER)
(320) 247-0953
Entity
Organization
Contact information
Practice address
108 W 4TH ST, DELL RAPIDS, SD 57022-1508
(605) 428-5471
Mailing address
10955 ANGLER TRL, GREY EAGLE, MN 56336-4766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1189
SD
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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