Organization
GEORGE W. FORD, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WILLIAM FORD DMD (PRESIDENT)
(770) 381-0703
Entity
Organization
Contact information
Practice address
605 BEAVER RUIN RD NW STE A, LILBURN, GA 30047-3430
(770) 381-0703
Mailing address
605 BEAVER RUIN RD NW STE A, LILBURN, GA 30047-3430
(770) 381-0703
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9312
GA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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