Organization
LEGENDS FAMILY DENTAL CENTER
Active
Other names
Matthew E. Ford, DDS, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EDWARD FORD D.D.S. (OWNER/PRESIDENT)
(623) 561-1991
Entity
Organization
Contact information
Practice address
20241 N 67TH AVE, SUITE A3, GLENDALE, AZ 85308-6653
(623) 561-1991
Mailing address
20241 N 67TH AVE, SUITE A3, GLENDALE, AZ 85308-6653
(623) 561-1991
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6891
AZ
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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