Organization
LORA B. FORD DDS, MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORA B FORD DDS, MS (ENDODONTIST/OWNER)
(304) 690-1124
Entity
Organization
Contact information
Practice address
112 MORRIS ST, CHARLESTON, WV 25301-2911
(304) 343-2799
(304) 345-5114
Mailing address
112 MORRIS ST, CHARLESTON, WV 25301-2911
(304) 343-2799
(304) 345-5114
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3581
WV
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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