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Individual

BRET M FORD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
40 W BROWN RD, STE 101, MESA, AZ 85201-3400
(480) 834-6800
Mailing address
40 W BROWN RD, MESA, AZ 85201-3400
(480) 834-6800
(480) 649-5073

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4722
AZ

Other

Enumeration date
08/26/2005
Last updated
07/08/2007
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